Individual
JACOB RYAN BAISDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
25 S HIGH ST, JACKSON, OH 45640-1812
(740) 988-8637
Mailing address
25 S HIGH ST, JACKSON, OH 45640-1812
(740) 988-8637
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
374U00000X
OH
Other
Enumeration date
12/10/2021
Last updated
12/10/2021
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