Individual
JESSICA NICOLE OYUELA-UMANZOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6404 YELLOW SPRINGS DR, MADISON, OH 44057-3452
(440) 428-5466
Mailing address
4546 N RIDGE RD E LOT 43, GENEVA, OH 44041-9245
(440) 228-9750
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0119290
—
OH
Enumeration date
01/30/2019
Last updated
01/30/2019
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