Individual
JEANNETTE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 RUTH ELLEN DR, H404, RICHMOND HTS, OH 44143-1059
(216) 323-0157
Mailing address
120 RUTH ELLEN DR, H404, RICHMOND HTS, OH 44143-1059
(216) 323-0157
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2279403
—
OH
Enumeration date
06/23/2008
Last updated
06/23/2008
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