Individual
JAY TWARDOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1358 ORCHARD RUN DR, LEBANON, OH 45036-9251
(513) 520-7267
Mailing address
1358 ORCHARD RUN DR, LEBANON, OH 45036-9251
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0960474
—
OH
Enumeration date
08/15/2014
Last updated
08/15/2014
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