Individual
JENNIFER WOODFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
370 CLINE AVE, MANSFIELD, OH 44907-1057
(419) 756-1125
(419) 756-1825
Mailing address
370 CLINE AVE, MANSFIELD, OH 44907-1057
(419) 756-1125
(419) 756-1825
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.008566RX
OH
Other
Enumeration date
01/04/2024
Last updated
01/11/2024
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