Individual
JAN G KREJSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16613 OLD STATE RD, MIDDLEFIELD, OH 44062-9139
(144) 054-8299
Mailing address
16613 OLD STATE RD, MIDDLEFIELD, OH 44062-9139
(144) 054-8299
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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