Individual
JACLYN MARIE BERES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1 PARK WEST BLVD, SUITE 200, AKRON, OH 44320-4218
(330) 869-9777
(330) 869-0052
Mailing address
1 PARK WEST BLVD, SUITE 200, AKRON, OH 44320-4218
(330) 869-9777
(330) 869-0052
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
COA14890NM
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0089219
—
OH
Enumeration date
08/05/2013
Last updated
11/04/2013
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