Most Relevant Information
Provider Data
NPI Number: | 1003543612 |
Provider Name: | REECAUSETTER PERNELL |
Entity Type: | Individual |
Taxonomy Code: | 374700000X |
Specialty: | Technician |
License Number: |
Most Important Dates
Enumeration Date: | 08/03/2022 |
Last Updated: | 08/03/2022 |
Provider Practice Location
863 PROUTY AVE
TOLEDO
OH
436093262
Practice Location Phone/Fax
Phone: | 4047590552 |
Fax: |
Provider Mailing Location
863 PROUTY AVE
TOLEDO
OH
436093262
Provider Mailing Phone/Fax
Phone: | 4047590552 |
Fax: |