Individual
SAMANTHA L JERLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
203 N MAIN ST, NEW LEXINGTON, OH 43764-1264
(740) 342-1991
Mailing address
58603 BUFFALO MINE RD, SENECAVILLE, OH 43780-1101
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
RA.164524
OH
Other
Enumeration date
10/22/2025
Last updated
10/22/2025
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