Individual
JIMIKA BEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4002 FRAMPTON CT, ENGLEWOOD, OH 45322-2520
(937) 718-6651
Mailing address
5709 LEYDEN LN, DAYTON, OH 45424-3443
(937) 204-8482
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3747P1801X
—
OH
Enumeration date
07/27/2022
Last updated
07/27/2022
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