Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 4327 | OH |
Y | 111NN1001X | Nutrition | 4327 | OH |
NPI | 1033462296 |
---|---|
Provider Name | Sara Jerman |
First Address | North Royalton, OH 44133-1522 |
Second Address | North Royalton, OH 44133-3278 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2012 |
Last Update Date | 30/12/2013 |