Individual
JEANNETTE WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
419 S UNION ST, BETHEL, OH 45106-1517
(513) 546-1402
Mailing address
419 S UNION ST, BETHEL, OH 45106-1517
(513) 546-1402
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
12/14/2023
Last updated
12/14/2023
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