Individual
JEANNE KOENIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7942 DOVEGATE DR, MENTOR, OH 44060-5988
(440) 478-7948
Mailing address
7942 DOVEGATE DR, MENTOR, OH 44060-5988
(440) 478-7948
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
08/22/2021
Last updated
08/22/2021
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