Individual
JASON MARC ETTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PRS
Contact information
Practice address
495 METRO PL S STE 160, DUBLIN, OH 43017-5394
(614) 580-6917
Mailing address
495 METRO PL S STE 160, DUBLIN, OH 43017-5394
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/25/2021
Last updated
07/14/2021
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