Individual
DESIREE MARIE JEWELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3921 ASHLAND AVE, LORAIN, OH 44053-2830
(440) 714-3653
Mailing address
3921 ASHLAND AVE, LORAIN, OH 44053-2830
(440) 714-3653
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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