Individual
ADZUA ANTENOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
165 E PARK AVE, NILES, OH 44446-2352
(330) 544-8005
(330) 544-9379
Mailing address
3640 BURKEY RD, YOUNGSTOWN, OH 44515-3335
(718) 807-7190
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
534390
OH
Other
Enumeration date
08/05/2014
Last updated
05/20/2025
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