Individual
MISS JESSICA NICOLE WICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
923 BUNKER HILL RD, ASHTABULA, OH 44004-7732
(440) 228-3013
Mailing address
923 BUNKER HILL RD, ASHTABULA, OH 44004-7732
(440) 228-3013
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
TD980374
OH
Other
Enumeration date
10/04/2012
Last updated
10/04/2012
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