Individual
JENNIFER TWIGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1942 VICTORIA ST, CUYAHOGA FALLS, OH 44221-4123
(330) 212-5015
Mailing address
1942 VICTORIA ST, CUYAHOGA FALLS, OH 44221-4123
(330) 212-5015
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0108956
—
OH
Enumeration date
11/28/2020
Last updated
12/14/2020
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