Individual
DR. JENNIFER K. FALLON-DELUCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
28555 STARBRIGHT BLVD STE B, PERRYSBURG, OH 43551-5662
(419) 931-3030
(419) 931-3046
Mailing address
28555 STARBRIGHT BLVD STE B, PERRYSBURG, OH 43551-5662
(419) 931-3089
(419) 931-3048
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35070621
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0086604
—
OH
Enumeration date
10/21/2009
Last updated
10/15/2013
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