Individual
JAVIC MAYHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1602 S JACKSON AVE, DEFIANCE, OH 43512-3726
(419) 956-2049
Mailing address
1602 S JACKSON AVE, DEFIANCE, OH 43512-3726
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
HI02500109
IN
171WH0202X
Home Modifications Contractor
Primary
OHI.2025001335
OH
Other
Enumeration date
01/03/2026
Last updated
01/03/2026
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