Individual
JEFRI ANN BENGAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9160 COUNTRY VIEW LN, LOVELAND, OH 45140-1462
(513) 677-2916
Mailing address
9160 COUNTRY VIEW LN, LOVELAND, OH 45140-1462
(513) 677-2916
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
M8301359
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
M8301359
—
OH
Enumeration date
12/08/2020
Last updated
12/08/2020
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