Individual
JA NYE WARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1301 S FOUNTAIN AVE, SPRINGFIELD, OH 45506-2713
(719) 321-3950
Mailing address
1301 S FOUNTAIN AVE, SPRINGFIELD, OH 45506-2713
(719) 321-3950
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
06/17/2025
Last updated
06/17/2025
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