Individual
JENNIFER L SNYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11851 DETROIT AVE, LAKEWOOD, OH 44107-3016
(216) 529-7125
(216) 529-7196
Mailing address
11851 DETROIT AVE, LAKEWOOD, OH 44107-3016
(216) 529-7125
(216) 529-7196
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35076133S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2190598
—
OH
Enumeration date
03/07/2006
Last updated
11/20/2020
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