Individual
JACQUELINE HUMPHREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5055 ENTERPRISE BLVD, TOLEDO, OH 43612-3839
(419) 482-1147
Mailing address
5055 ENTERPRISE BLVD, TOLEDO, OH 43612-3839
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
03/24/2011
Last updated
03/24/2011
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