Individual provider · Type 1 NPI
Mary Jennifer Wootten
Driver · Medina, OH
NPI number
1063148948
Active
Practice location
4989 Shady Brooke Run
Medina, OH 44256-8282
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | None listed |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
Other driver providers in Medina
About NPI 1063148948
Mary Jennifer Wootten's National Provider Identifier is 1063148948, issued on Jul 25, 2022. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Medina, OH. The record was last updated on Jul 25, 2022.