Individual
JENNIFER LATANE KIZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2964 REEN DR, TOLEDO, OH 43613-2575
(567) 395-7895
Mailing address
2964 REEN DR, TOLEDO, OH 43613-2575
(567) 395-7895
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0205893
—
OH
Enumeration date
02/19/2020
Last updated
02/19/2020
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