Individual
JACQUETTE BURNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21350 CAROL DR, EUCLID, OH 44119-1831
(330) 338-3588
Mailing address
21350 CAROL DR, EUCLID, OH 44119-1831
(330) 338-3588
Taxonomy
Speciality
Code
Description
License number
State
171WV0202X
Vehicle Modifications Contractor
Primary
SY974147
OH
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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