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Individual

KAREN JO ZICKEFOOSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
941 WASHINGTON ST, WOOSTER, OH 44691-3062
(330) 462-1869
Mailing address
941 WASHINGTON ST, WOOSTER, OH 44691-3062
(330) 462-1869

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.408482
OH
172A00000X
Driver
253Z00000X
In Home Supportive Care Agency
343900000X
Non-emergency Medical Transport (VAN)
347C00000X
Private Vehicle
3747P1801X
Personal Care Attendant
376J00000X
Homemaker

Other

Enumeration date
08/29/2023
Last updated
12/05/2023
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