Individual
MIQUITA C HOSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
725 BOARDMAN CANFIELD RD STE L1, YOUNGSTOWN, OH 44512-4370
(330) 330-8655
Mailing address
PO BOX 636988, CINCINNATI, OH 45263-6988
(888) 940-2722
(513) 632-8898
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.003276
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H019767
—
OH
Enumeration date
07/22/2011
Last updated
09/13/2022
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