Individual
JESSICA BOLDT HARTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
218 E MAIN ST, PIQUA, OH 45356-4038
(937) 451-7308
Mailing address
218 E MAIN ST, PIQUA, OH 45356-4038
(937) 451-7308
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
141872
OH
Other
Enumeration date
11/02/2011
Last updated
11/02/2011
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