Individual
JENNY BRYANT STOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
158 BARANOF W, WESTERVILLE, OH 43081-6207
(614) 530-1195
Mailing address
158 BARANOF W, WESTERVILLE, OH 43081-6207
(614) 530-1195
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2568163
—
OH
Enumeration date
10/10/2020
Last updated
10/10/2020
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