Individual
JESSICA SUE EBERLE I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8580 TOWNSHIP ROAD 1060, LAKEVILLE, OH 44638-9723
(330) 317-5777
Mailing address
8580 TOWNSHIP ROAD 1060, LAKEVILLE, OH 44638-9723
(330) 317-5777
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0297319
—
OH
Enumeration date
07/17/2018
Last updated
07/17/2018
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