Individual
JENNIFER WAMPLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6802 WESTVIEW DR, BRECKSVILLE, OH 44141-2924
(440) 630-9096
(440) 630-9177
Mailing address
6802 WESTVIEW DR, BRECKSVILLE, OH 44141-2924
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0119474
—
OH
Enumeration date
07/16/2015
Last updated
07/16/2015
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