Most Relevant Information
Provider Data
NPI Number: | 1003312760 |
Provider Name: | SARA JANE BROWN |
Entity Type: | Individual |
Taxonomy Code: | 390200000X |
Specialty: | Student in an Organized Health Care Education/Training Program |
License Number: |
Most Important Dates
Enumeration Date: | 04/02/2018 |
Last Updated: | 11/29/2021 |
Provider Practice Location
9500 MENTOR AVE STE 100
MENTOR
OH
440608702
Practice Location Phone/Fax
Phone: | 4403524880 |
Fax: | 4403523629 |
Provider Mailing Location
30615 WILLOWICK DR
WILLOWICK
OH
440953748
Provider Mailing Phone/Fax
Phone: | 4407967763 |
Fax: |