Individual
MRS. JENNIFER LOUISE PEDRAZAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2875 W MARKET ST STE B, FAIRLAWN, OH 44333-4065
(330) 864-1916
Mailing address
1077 GORGE BLVD, AKRON, OH 44310-2408
(234) 312-6418
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.007364RX
OH
363A00000X
Physician Assistant
5601004620
MI
363A00000X
Physician Assistant
PA194857
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508035460
—
MI
01
—
PA194857
STATE LICENSE
OR
Enumeration date
02/25/2008
Last updated
03/07/2023
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