Individual
JASPER MONIC KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
211 MATHEW ST, PAINESVILLE, OH 44077-3121
(216) 280-7521
Mailing address
211 MATHEWS ST, PAINESVILLE, OH 44077-3121
(216) 647-2078
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
APS.004432
OH
376K00000X
Nurse's Aide
401313351011
OH
Other
Enumeration date
06/30/2016
Last updated
09/10/2023
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