Individual
MS. JESSICA LEIGH-ANN WHALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
540 DELONG RD, OTWAY, OH 45657-9502
(937) 587-5484
Mailing address
540 DELONG RD, OTWAY, OH 45657-9502
(937) 587-5484
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2507433
—
OH
Enumeration date
04/26/2007
Last updated
07/08/2007
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