Ni Ketut Kumala Dewi Hariadi
NPI #1114404159 in Independence, Ohio
Provider Information
- NPI Number
- 1114404159
- Entity Type
- Individual
- Name
- Ni Ketut Kumala Dewi Hariadi
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Jul 23, 2018
- Last Updated
- Jul 23, 2018
Practice Location
- Address
- 5001 ROCKSIDE RD
- City
- Independence
- State
- Ohio
- ZIP Code
- 44131-2172
- Phone
- (216) 986-4000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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