Individual
JESSICA ELISABETH SIEFKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14453 ROAD 8, OTTAWA, OH 45875-9504
(419) 523-4903
Mailing address
14453 ROAD 8, OTTAWA, OH 45875-9504
(419) 523-4903
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2578349
—
OH
Enumeration date
03/23/2009
Last updated
03/23/2009
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