Individual
RADONA SAMPLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3113 PARKWOOD AVE, TOLEDO, OH 43610-1616
(419) 442-7982
Mailing address
845 STRAWBERRY HILL RD W, COLUMBUS, OH 43213-3428
(614) 599-7562
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
09/21/2024
Last updated
10/09/2025
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