Individual
JULIANNA ANDRES FELLOWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8445 MUNSON RD, MENTOR, OH 44060-2410
(440) 255-1700
Mailing address
8445 MUNSON RD, MENTOR, OH 44060-2410
(440) 255-1700
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
4252
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2844093
—
OH
Enumeration date
08/30/2017
Last updated
08/30/2017
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