Individual
JENNA YEAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, ATC
Contact information
Practice address
7640 SYLVANIA AVE STE B, SYLVANIA, OH 43560-9263
(419) 517-8178
(419) 517-8188
Mailing address
4126 N HOLLAND SYLVANIA RD, STE 100, TOLEDO, OH 43623-3536
(419) 473-9500
(419) 473-9501
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
50.004005
OH
Other
Enumeration date
02/18/2014
Last updated
11/27/2018
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