Most Relevant Information
Provider Data
| NPI Number: | 1003419797 |
| Provider Name: | SARA PEDERSEN |
| Entity Type: | Individual |
| Taxonomy Code: | 172A00000X |
| Specialty: | Driver |
| License Number: | SV099550 |
Most Important Dates
| Enumeration Date: | 11/17/2020 |
| Last Updated: | 11/17/2020 |
Provider Practice Location
379 PENNSYLVANIA AVE
DELAWARE
OH
430151519
Practice Location Phone/Fax
| Phone: | 7408163669 |
| Fax: |
Provider Mailing Location
379 PENNSYLVANIA AVE
DELAWARE
OH
430151519
Provider Mailing Phone/Fax
| Phone: | 7408163669 |
| Fax: |