Individual
JENNIFER MARIE LEASURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSTO
Contact information
Practice address
1410 SHERIDAN DR APT 12D, LANCASTER, OH 43130-1957
(740) 407-8609
Mailing address
1410 SHERIDAN DR APT 12D, LANCASTER, OH 43130-1957
(740) 407-8609
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
376KOOOOOX
OH
Other
Enumeration date
05/11/2009
Last updated
05/11/2009
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