Individual
ANGELIQUE R JARIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
202 E BAGLEY RD, BEREA, OH 44017
(440) 260-8300
Mailing address
434 EASTLAND RD, BEREA, OH 44017-1217
(440) 234-2006
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.448633
OH
Other
Enumeration date
07/02/2018
Last updated
07/02/2018
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