Individual
JESSIKA A ELLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4202 BAYARD RD, SOUTH EUCLID, OH 44121-3120
(216) 219-4036
Mailing address
4202 BAYARD RD, SOUTH EUCLID, OH 44121-3120
(216) 219-4036
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
01/14/2025
Last updated
01/14/2025
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