Individual
MS. JENNIFER SUE KLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10571 WHITE ST UNIT 4, GARRETTSVILLE, OH 44231-1071
(330) 527-6081
Mailing address
10571 WHITE ST UNIT 4, GARRETTSVILLE, OH 44231-1071
(330) 527-6081
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.283543
OH
Other
Enumeration date
02/14/2013
Last updated
02/14/2013
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