Individual
JORDAN LARNTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1750 SOUTHGATE PKWY, CAMBRIDGE, OH 43725-3024
(330) 473-0234
Mailing address
28850 STATE ROUTE 621, FRESNO, OH 43824-9592
(330) 473-0234
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
APS.004875
OH
Other
Enumeration date
04/02/2024
Last updated
04/02/2024
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