Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 34.013492 | OH |
NPI | 1053755389 |
---|---|
Provider Name | Maricor Docena |
First Address | Akron, OH 44304-1423 |
Second Address | Akron, OH 44304 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2013 |
Last Update Date | 17/07/2018 |