Individual
DAVID PEMBERTON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
115 CARRIAGE LN APT 103, CANFIELD, OH 44406-1502
(404) 747-8523
Mailing address
115 CARRIAGE LN APT 103, CANFIELD, OH 44406-1502
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
9529489
OH
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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