Individual
LOUIS H PENNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4436 ELM AVE, BRUNSWICK, OH 44212-1108
(330) 416-7888
Mailing address
4436 ELM AVE, BRUNSWICK, OH 44212-1108
(330) 416-7888
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
171WH0202X
Home Modifications Contractor
—
—
Other
Enumeration date
05/29/2023
Last updated
05/29/2023
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