Individual
MS. JENETTE MARIE STARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
209 E 4TH ST, GREENVILLE, OH 45331-1939
(567) 371-4418
Mailing address
530 S MAIN ST, LIMA, OH 45804-1240
(576) 371-4418
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/24/2022
Last updated
06/24/2022
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