Individual
MR. JACK A MARSH II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
4040 GREENBAY DR, BARBERTON, OH 44203-4514
(330) 351-0345
Mailing address
4040 GREENBAY DR, BARBERTON, OH 44203-4514
(330) 351-0345
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 107060
OH
Other
Enumeration date
01/01/2007
Last updated
07/08/2007
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