Individual
BRIEANA LEE JARVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 THOREAU LN, XENIA, OH 45385-2757
(937) 708-0477
Mailing address
125 THOREAU LN, XENIA, OH 45385-2757
(937) 708-0477
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0221675
—
OH
Enumeration date
10/26/2017
Last updated
10/26/2017
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