Individual
MRS. JESSICA RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6010 PERIDOT ST, GROVE CITY, OH 43123-8391
(614) 204-8663
Mailing address
6010 PERIDOT ST, GROVE CITY, OH 43123-8391
(614) 204-8663
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
11/29/2020
Last updated
11/29/2020
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