Individual
JENNIFER AMBER ACITELLI-STOFAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
462 CHARDON ST, PAINESVILLE, OH 44077-3019
(440) 953-9999
Mailing address
38882 MENTOR AVE, WILLOUGHBY, OH 44094-7875
(440) 953-9999
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN390488
OH
Other
Enumeration date
09/14/2017
Last updated
09/14/2017
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