Individual
MARY JOAN APODACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
635 N ERIE ST, TOLEDO, OH 43604-5317
(419) 213-4121
(419) 213-4196
Mailing address
635 N ERIE ST, TOLEDO, OH 43604-5317
(419) 213-4121
(419) 213-4196
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
258694
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
258694
NURSING LICENSE
OH
Enumeration date
10/09/2018
Last updated
10/09/2018
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