Individual
JACOB EDGARDO GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1842 TOWNSHIP ROAD 80, MILLERSBURG, OH 44654-9645
(330) 600-0887
Mailing address
1842 TOWNSHIP ROAD 80, MILLERSBURG, OH 44654-9645
(330) 600-0887
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
402204420819
OH
Other
Enumeration date
05/12/2026
Last updated
05/12/2026
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