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Individual

RONDA JEAN ATWOOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
STNA/CTA

Contact information

Practice address
3726 LIBERTY ST, ASHTABULA, OH 44004-5945
(440) 536-5151
Mailing address
3726 LIBERTY ST, ASHTABULA, OH 44004-5945
(440) 536-5151

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
378873310600
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
378873310600
STATE TESTED NURSING ASSISTANT
OH
Enumeration date
08/06/2013
Last updated
08/06/2013
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