Individual
MISS JESSICA GRACE HOLIDAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2407 WIMBLEDON RD, COLUMBUS, OH 43220-4332
(614) 451-9628
(614) 451-0869
Mailing address
2407 WIMBLEDON RD, COLUMBUS, OH 43220-4332
(614) 451-9628
(614) 451-0869
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2394887
—
OH
Enumeration date
07/05/2006
Last updated
07/09/2007
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