Individual
MISS ISABELLA ROSE JIVIDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
990 FIELDSTONE DR, KENT, OH 44240-2076
(330) 524-1156
Mailing address
990 FIELDSTONE DR, KENT, OH 44240-2076
(330) 524-1156
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
OH
Other
Enumeration date
04/01/2021
Last updated
04/01/2021
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