Individual
JESSICA R. MANGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11277 FAIR RD, SIDNEY, OH 45365-7512
(937) 726-6883
Mailing address
11277 FAIR RD, SIDNEY, OH 45365-7512
(937) 726-6883
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
12/23/2020
Last updated
12/23/2020
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