SELF-EMPLOYED

PAINESVILLE, OH
NPI1689077125
Entity TypeOrganization
Authorized ContactDELMESHA JACKSON
Stna
440-251-9701
Organization Subpart ?No
Primary Taxonomy293D00000X Physiological Laboratory
(Licence: OH  47)
Enumeration Date2014-09-29
Last Update Date2014-09-29
Business Address
SELF-EMPLOYED
95B BARLEY DR
PAINESVILLE, OH 44077-5349
Phone number: 440-251-9701
Mailing Address
SELF-EMPLOYED
95B BARLEY DR
PAINESVILLE, OH 44077-5349
Phone number: 440-251-9701