Individual
JACITY RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
520 COLONY RD, CANAL FULTON, OH 44614-1229
(330) 488-4218
Mailing address
520 COLONY RD, CANAL FULTON, OH 44614-1229
(330) 488-4218
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
184269
OH
251E00000X
Home Health Agency
—
—
Other
Enumeration date
04/15/2024
Last updated
04/16/2024
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