Individual
ANDREA JEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
500 LINCOLN PARK BLVD STE 110, KETTERING, OH 45429-6410
(937) 531-5020
Mailing address
500 LINCOLN PARK BLVD STE 110, KETTERING, OH 45429-6410
(937) 531-5020
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001006685
NC
363A00000X
Physician Assistant
Primary
50.004123RX
OH
Other
Enumeration date
09/26/2014
Last updated
01/26/2021
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