Individual
MIKA DERIFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
205 S PARDEE ST, WADSWORTH, OH 44281-1465
(330) 696-8539
Mailing address
12379 VALLEY VIEW DR, CHESTERLAND, OH 44026-2456
(330) 696-9066
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Enumeration date
01/30/2017
Last updated
04/09/2020
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