Individual
KENDALL JACKSON LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6690 INVERNESS ST, WESTERVILLE, OH 43082-7742
(717) 991-8363
Mailing address
847 WESTRAY DR, WESTERVILLE, OH 43081-3765
(614) 869-7518
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
VH6777536
OH
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
About Stedi
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