Individual
JENNIFER MINOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4611 SHAWNRAY DR, MIDDLETOWN, OH 45044-6833
(513) 292-1226
Mailing address
4611 SHAWNRAY DR, MIDDLETOWN, OH 45044-6833
(513) 292-1226
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
0299632
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0299632
—
OH
Enumeration date
08/10/2020
Last updated
08/10/2020
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