Individual
JENNIFER A FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1252 18TH ST NW, CANTON, OH 44703-1143
(330) 209-4555
Mailing address
1252 18TH ST NW, CANTON, OH 44703-1143
(330) 209-4555
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
2424933
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2424933
INDEPENDENT PROVIDER
OH
Enumeration date
04/19/2007
Last updated
07/08/2007
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