Individual
JESSICA CHERIE DAVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3033 MARIE AVE, LORAIN, OH 44052-5131
(440) 864-3011
Mailing address
3033 MARIE AVE, LORAIN, OH 44052-5131
(440) 864-3011
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
561076
—
OH
Enumeration date
04/06/2021
Last updated
04/06/2021
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