Individual
JESSICA GIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5026 DEARTH RD, SPRINGBORO, OH 45066-7747
(937) 751-9503
Mailing address
5026 DEARTH RD, SPRINGBORO, OH 45066-7747
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/20/2014
Last updated
05/20/2014
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