Individual
MS. JEAN LOUISE BECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HOME CARE PROVIDER
Contact information
Practice address
115 RIDGEVIEW DR, MEDINA, OH 44256-2918
(133) 072-3776
Mailing address
115 RIDGEVIEW DR, MEDINA, OH 44256-2918
(133) 072-3776
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2436582
—
OH
Enumeration date
12/09/2020
Last updated
12/09/2020
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