Individual
MISS ELITAH M. MUKONKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
179 WILLARD AVE, BEDFORD, OH 44146-2219
(440) 232-8103
Mailing address
179 WILLARD AVE, BEDFORD, OH 44146-2219
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN338000
OH
Other
Enumeration date
02/15/2008
Last updated
02/15/2008
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