Jerry Lee Monroe III

NPI #1104541507 in Canton, Ohio

Provider Information

NPI Number: 1104541507
Entity Type: Individual
Name: Jerry Lee Monroe III
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Homemaker
Enumeration Date: Oct 7, 2022
Last Updated: Oct 7, 2022

Practice Location

Address: 4722 CASTLEBAR ST NW APT 6
City: Canton
State: Ohio
ZIP Code: 44708-2173
Phone: (330) 309-6600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary

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