Individual
JESSEKIA BONNETT MABRY
Active
Individual
JESSEKIA BONNETT MABRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401619880314
OH
Other
Enumeration date
10/21/2015
Last updated
08/19/2019
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