Most Relevant Information
Provider Data
| NPI Number: | 1003661927 |
| Provider Name: | SANORA JEAN KECK |
| Entity Type: | Individual |
| Taxonomy Code: | 372600000X |
| Specialty: | Adult Companion |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/23/2024 |
| Last Updated: | 04/23/2024 |
Provider Practice Location
6169 STATE ROUTE 15
NEY
OH
435499717
Practice Location Phone/Fax
| Phone: | 4196702144 |
| Fax: |
Provider Mailing Location
6169 STATE ROUTE 15
NEY
OH
435499717
Provider Mailing Phone/Fax
| Phone: | 4196702144 |
| Fax: |