Individual
DIANE HELEN KOTIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2801 C CT, ASHTABULA, OH 44004-4577
(440) 998-4210
Mailing address
2801 C CT, ASHTABULA, OH 44004-4577
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1926062
OH
Other
Enumeration date
12/08/2017
Last updated
12/08/2017
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