Jeannine Louise Marong, PA-C
Physician Assistant, Medical in Cleveland, OH. Individual provider (NPI-1).
NPI number1508167172
StatusActive
Last updated in NPPESJul 10, 2012
Details
- NPI
- 1508167172
- Entity type
- Individual (NPI-1)
- Name
- Jeannine Louise Marong
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 12, 2010
- Last updated
- Jul 10, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 003188 | OH | Yes |
Practice location
9500 Euclid AveCleveland, OH 44195-0001
Phone 216-444-0261
Mailing address
5455 N Marginal RdApartment #328
Cleveland, OH 44114-3937
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