Individual
MR. ERIC JONATHAN ROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
106 E MAIN ST, PORT JEFFERSON, OH 45360-1007
(937) 424-6678
Mailing address
PO BOX 133, PORT JEFFERSON, OH 45360-0133
(937) 424-6678
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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