SearchOhio376J00000X

Jessica Brodwolf

NPI 1669069191 · on the registry since 2020 · sole proprietor

Practice

Address
3188 Benwick Dr
Medina, OH 44256
Phone
(330) 410-6682

Registry record

Primary taxonomy
376J00000X
376J00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-12-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio