Individual
MRS. JESSICA DAWN ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
18633 LOVE RD, FREDERICKTOWN, OH 43019-9754
(740) 507-1534
Mailing address
18633 LOVE RD, FREDERICKTOWN, OH 43019-9754
(740) 507-1534
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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