Individual
JENNIFER IRILISSES OCASIO DECLET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2739 JEAN ST, YOUNGSTOWN, OH 44502-2708
(787) 702-3375
Mailing address
2739 JEAN ST, YOUNGSTOWN, OH 44502-2708
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
OH
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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