Individual
JASMOND CARIE DYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2368 STEWART DR NW, WARREN, OH 44485-2347
(330) 883-0787
Mailing address
2368 STEWART DR NW, WARREN, OH 44485-2347
(330) 883-0787
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
402137340119
OH
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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