(800) 868-1923

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: