Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | 35074028 | OH |
NPI | 1033215975 |
---|---|
Provider Name | Jennifer Laura Grow |
First Address | Akron, OH 44302-1809 |
Second Address | Akron, OH 44302-1809 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/09/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2350334 | (05) | OH |