Individual
JAMAL P. JETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
30915 LORAIN RD STE 114, NORTH OLMSTED, OH 44070-4722
(440) 471-4970
(440) 617-6065
Mailing address
30915 LORAIN RD, NORTH OLMSTED, OH 44070-4722
(440) 471-4970
(440) 617-6065
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36-003234
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2220206
—
OH
Enumeration date
01/31/2007
Last updated
05/03/2018
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