Individual
JIN DONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, CNP
Contact information
Practice address
6100 ROCKSIDE WOODS BLVD N, SUITE 351, INDEPENDENCE, OH 44131-2366
(216) 524-0111
Mailing address
4672 CARALEE DR, CINCINNATI, OH 45242-7932
(513) 309-8384
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
12068
OH
Other
Enumeration date
12/28/2010
Last updated
12/28/2010
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