Individual
JALISA RAVENSCRAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1142 WABASH AVE, CINCINNATI, OH 45215-1735
(513) 807-1173
Mailing address
5727 COLUMBIA RD, MASON, OH 45040-9626
(513) 807-1173
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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