Individual
JENNIFER KOTALAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3605 GOOD RD, SEVILLE, OH 44273-9722
(330) 421-8031
Mailing address
3605 GOOD RD, SEVILLE, OH 44273-9722
(330) 421-8031
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
OH
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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