Individual
MS. BRIDGET FAWN CZOMPOLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1365 NICHOLS AVE, LORAIN, OH 44053-1039
(440) 822-7898
Mailing address
2469 STELZER RD, BRADFORD SCHOOL, COLUMBUS, OH 43219-0037
(614) 416-6200
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/17/2015
Last updated
07/23/2015
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