Individual
MRS. CHASSITY JEAN ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
108 ELM ST W, BRYAN, OH 43506-9256
(419) 519-1007
Mailing address
108 ELM ST W, BRYAN, OH 43506-9256
(419) 519-1007
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
0102631
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0102631
—
OH
Enumeration date
02/20/2007
Last updated
09/30/2016
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