Individual
JALESSA HEREFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1935 ADELAIDE BLVD, AKRON, OH 44305-4305
(330) 573-0245
Mailing address
1935 ADELAIDE BLVD, AKRON, OH 44305-4305
(330) 573-0245
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
165812
OH
Other
Enumeration date
01/12/2023
Last updated
01/12/2023
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