Individual
JEPHTHA URETE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3182 ROESCH BLVD, APT 307, FAIRFIELD, OH 45014-7055
(513) 692-0181
Mailing address
3182 ROESCH BLVD, APT 307, FAIRFIELD, OH 45014-7055
(513) 692-0181
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
400974550909
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0085600
—
OH
Enumeration date
07/27/2014
Last updated
07/27/2014
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