Sara Provenzale

NPI #1831721950 in Marion, Ohio

Provider Information

NPI Number
1831721950
Entity Type
Individual
Name
Sara Provenzale
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
Feb 6, 2020
Last Updated
Feb 6, 2020

Practice Location

Address
320 EXECUTIVE DR
City
Marion
State
Ohio
ZIP Code
43302-6373
Phone
(740) 387-5210

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program

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