SearchOhio171W00000X

Jeniffer Fovargue

NPI 1700492329 · on the registry since 2020 · sole proprietor

Practice

Address
10626 Tibbetts Rd
Kirtland, OH 44094
Phone
(440) 867-5812

Registry record

Primary taxonomy
171W00000X
171W00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-09-18

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