Individual
ANDRE LAMONT JETER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5507 CHATFORD SQ, COLUMBUS, OH 43232-7013
(614) 209-3538
Mailing address
5507 CHATFORD SQ, COLUMBUS, OH 43232-7013
(614) 209-3538
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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