Individual
JENNIFER DONGILLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1621 BUNTS RD, LAKEWOOD, OH 44107-4515
(503) 559-0638
Mailing address
1621 BUNTS RD, LAKEWOOD, OH 44107-4515
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
354769
OH
163W00000X
Registered Nurse
773857
TX
Other
Enumeration date
10/12/2011
Last updated
10/12/2011
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