Female

Victoria C. Radel PA-C

Medical Physician Assistant in Mentor, OH(View on Map)

Full Name

Victoria Celeste Radel PA-C

NPI Number

1063130722

NPI Type

Individual Provider

Gender

Female

Enumeration Date

08/18/2022

Specialties

(Taxonomies)

Code

363AM0700X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

9180 PLEASANTVALE CT
8655 MARKET ST STE 200

City

Mentor
Mentor

State

OH
OH

Postal Code

44060-7334
44060-4112

Country

US
US

Telephone Number

(440) 897-9221
(440) 255-7938

Identifiers

Identifier

50.007775RX

Identifier State

OH

Identifier Issuer

ELICENSE OHIO PROFESSIONAL LICENSE

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/20/2022

Provider Address

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