Individual
TORI LYNN JEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 6TH ST SW # A2-710, CANTON, OH 44710-1702
(330) 454-8076
Mailing address
2600 SIXTH ST SW, CANTON, OH 44710-1702
(330) 454-8076
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
026418
OH
Other
Enumeration date
03/04/2020
Last updated
03/16/2020
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