Individual
JESSICA MARDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 W PARK ST, WEST LAFAYETTE, OH 43845-1044
(740) 294-9591
Mailing address
301 W PARK ST, WEST LAFAYETTE, OH 43845-1044
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/13/2020
Last updated
11/13/2020
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