Individual
JESSICA LYNN LAROCCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19181 LAKE SHORE BLVD, CLEVELAND, OH 44119-1048
(330) 367-9737
Mailing address
19181 LAKE SHORE BLVD, EUCLID, OH 44119-1048
(330) 367-9737
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OH
Other
Enumeration date
01/28/2022
Last updated
01/28/2022
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