Individual
JESSICA D ULE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9111 MORTON AVE, BROOKLYN, OH 44144-2534
(216) 262-4638
Mailing address
9111 MORTON AVE, BROOKLYN, OH 44144-2534
(216) 262-4638
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
2817107
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2817107
—
OH
Enumeration date
05/05/2014
Last updated
05/05/2014
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