Individual
JENNIFER L GALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10230 NORTHFIELD RD, NORTHFIELD, OH 44067-1419
(216) 570-9212
Mailing address
10230 NORTHFIELD RD, NORTHFIELD, OH 44067-1419
(216) 570-9212
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
2470820
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2470820
—
OH
Enumeration date
06/01/2007
Last updated
07/09/2007
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