Most Relevant Information
Provider Data
| NPI Number: | 1003499443 |
| Provider Name: | MARCUS JENNINGS |
| Entity Type: | Individual |
| Taxonomy Code: | 171W00000X |
| Specialty: | Contractor |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/04/2021 |
| Last Updated: | 05/04/2021 |
Provider Practice Location
5315 THOMAS ST
MAPLE HEIGHTS
OH
441372623
Practice Location Phone/Fax
| Phone: | 2165018746 |
| Fax: |
Provider Mailing Location
5315 THOMAS ST
MAPLE HEIGHTS
OH
441372623
Provider Mailing Phone/Fax
| Phone: | 2165018746 |
| Fax: |