Individual
JESI BENTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
38063 ZUSPAN HOLLOW RD, MIDDLEPORT, OH 45760-9744
(740) 416-8782
Mailing address
38063 ZUSPAN HOLLOW RD, MIDDLEPORT, OH 45760-9744
(740) 416-8782
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
5301009
OH
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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