Individual
MRS. JEANETTA MARIE JAMES
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
580 CRESTVIEW AVE, AKRON, OH 44320-1915
(330) 869-8762
Mailing address
580 CRESTVIEW AVE, AKRON, OH 44320-1915
(330) 869-8762
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
2287092
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2287092
—
OH
01
—
7703462
OHIO MBS CONTRACT NUMBER
OH
Enumeration date
05/09/2006
Last updated
07/09/2007
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