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Individual

SARAH ENRIQUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
5220 ALEXIS RD, SYLVANIA, OH 43560-2504
(419) 518-3700
Mailing address
5220 ALEXIS RD, SYLVANIA, OH 43560-2504

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
4704240067
MI
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN.CNP.026688
OH

Other

Enumeration date
08/10/2020
Last updated
08/10/2020
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