Individual
JACOB GASPAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
27158 LAKE RD, BAY VILLAGE, OH 44140-2271
(216) 246-2703
Mailing address
1432 ELMWOOD AVE, LAKEWOOD, OH 44107-3902
(440) 522-2456
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
OH
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
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