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Individual

JESSICA HAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9041 SYLVANIA AVE, SYLVANIA, OH 43560-9604
(419) 266-1148
Mailing address
9041 SYLVANIA AVE, SYLVANIA, OH 43560-9604
(419) 266-1148

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
RX733952
OH
372500000X
Chore Provider
372600000X
Adult Companion
Primary
376J00000X
Homemaker

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0089132
OH
Enumeration date
09/16/2020
Last updated
11/27/2023
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