Individual
DONA JAGGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10560 HEIMBERGER RD NW, BALTIMORE, OH 43105-9405
(740) 400-4076
Mailing address
12170 SAYLOR RD NW, BALTIMORE, OH 43105-9413
(740) 400-4076
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
2305231
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2305231
—
OH
Enumeration date
12/09/2020
Last updated
09/21/2022
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