Individual
PERCY JENNINGS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 ALTIMA CT, INWOOD, WV 25428-4395
(312) 446-5306
Mailing address
9928 S CHARLES ST, CHICAGO, IL 60643-2106
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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