Individual
JEFFREY ANTOINE SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4042 GARDEN PARK DR, TOLEDO, OH 43613-4043
(419) 490-3711
Mailing address
4042 GARDEN PARK DR, TOLEDO, OH 43613-4043
(419) 490-3711
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
SN396250
OH
Other
Enumeration date
05/11/2024
Last updated
05/11/2024
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