Individual
MRS. JILL JANETTE ISENNAGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3255 WINDING CREEK DR, COLUMBUS, OH 43223-3529
(614) 316-1555
Mailing address
3263 WINDING CREEK DR, COLUMBUS, OH 43223-3529
(614) 316-1555
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
RR867637
OH
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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