Individual
JUDY MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3700 KOLBE RD # 3WT, LORAIN, OH 44053-1611
(440) 960-4342
(440) 960-4017
Mailing address
3700 KOLBE RD # 3WT, LORAIN, OH 44053-1611
(440) 960-4342
(440) 960-4017
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
COA 01580 NS
OH
Other
Enumeration date
07/30/2015
Last updated
07/30/2015
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