Individual
JESSE WORLUMARTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
413 VANIMAN AVE, TROTWOOD, OH 45426-2529
(732) 762-5834
Mailing address
413 VANIMAN AVE, TROTWOOD, OH 45426-2529
(732) 762-5834
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
5712447
OH
376K00000X
Nurse's Aide
400795720808
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3154063
—
OH
05
—
5712447
—
OH
Enumeration date
03/21/2019
Last updated
03/21/2019
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