Individual
MS. JENNELL LEE PEART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7915 MILTON RD, CUSTAR, OH 43511-9704
(419) 429-2569
Mailing address
7915 MILTON RD, CUSTAR, OH 43511-9704
(419) 429-2569
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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