Individual
MIRA PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2509 MANCHESTER BLVD, OTTAWA HILLS, OH 43606-2404
(419) 297-2070
Mailing address
2509 MANCHESTER BLVD, OTTAWA HILLS, OH 43606-2404
(419) 297-2070
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN340023
OH
163WH0200X
Home Health Registered Nurse
Primary
RN340023
OH
Other
Enumeration date
12/02/2019
Last updated
12/02/2019
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