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Individual

MS. DONNA K JENNINGS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
2825 ERIE DR, FAIRLAWN, OH 44333-3514
(330) 865-4930
Mailing address
2825 ERIE DR, FAIRLAWN, OH 44333-3514
(330) 865-4930

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
299090
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
299090
RN
OH
Enumeration date
03/30/2010
Last updated
03/30/2010
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