Individual
MRS. JEANNETTE CHRISTINE MYTYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1186 HADCOCK RD, BRUNSWICK, OH 44212-3016
(330) 225-3156
Mailing address
1186 HADCOCK RD, BRUNSWICK, OH 44212-3016
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2321026
—
OH
05
—
5211952
—
OH
Enumeration date
10/25/2015
Last updated
02/29/2016
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