Individual
JERAH WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4532 HIGHRIDGE AVE, DAYTON, OH 45420-3322
(937) 559-0165
Mailing address
4532 HIGHRIDGE AVE, DAYTON, OH 45420-3322
(937) 559-0165
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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