Individual
LINDA MONDRAGON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
340 OXFORD ST STE 120, DOVER, OH 44622-1969
(234) 801-2727
Mailing address
PO BOX 80690, CANTON, OH 44708-0690
(330) 363-7444
(330) 363-7770
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.009174RX
OH
363AM0700X
Medical Physician Assistant
PA9109083
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022307900
—
FL
Enumeration date
10/14/2015
Last updated
12/26/2024
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