Individual
JAYSON D WICKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2215 6TH ST SW, CANTON, OH 44706-1327
(866) 576-4118
(877) 847-7347
Mailing address
PO BOX 6229, COLUMBUS, OH 43206-0229
(866) 576-4118
(877) 847-7347
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
144148
OH
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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