Individual
JENA GREENWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 GLAMORGAN ST, ALLIANCE, OH 44601-2946
(330) 821-2100
Mailing address
PO BOX 3013, NORTH CANTON, OH 44720-8013
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OH1526974
OH
Other
Enumeration date
09/12/2014
Last updated
09/12/2014
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