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Individual

MARY ELIZABETH MODIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
OFFICE OF ADVANCED PRACTICE - P-32 9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-9005
Mailing address
4582 WINDSTREAM LN, BRECKSVILLE, OH 44141-2931
(440) 838-8463

Taxonomy

Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
147424
OH

Other

Enumeration date
05/17/2020
Last updated
12/12/2023
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