Individual
SUSAN JESKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
932 AMELIA AVE, AKRON, OH 44302-1106
(330) 844-2634
Mailing address
932 AMELIA AVE, AKRON, OH 44302-1106
(330) 844-2634
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0209942
—
OH
Enumeration date
11/24/2020
Last updated
11/24/2020
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