Individual
JAKIESHA PETTWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REV
Contact information
Practice address
432 ELIZABETH ST, CINCINNATI, OH 45203-1425
(513) 601-4032
Mailing address
432 ELIZABETH ST, CINCINNATI, OH 45203-1425
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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