Individual
JOSALYN REGEDANZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
720 ARMSTRONG ST, SAINT MARYS, OH 45885-1800
(419) 394-7451
Mailing address
530 S MAIN ST, LIMA, OH 45804-1240
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
TX493394
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106447890099
—
OH
Enumeration date
11/05/2020
Last updated
11/05/2020
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