Individual
JENNIFER SUE CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1213 VIRGINIA AVE, LAKEWOOD, OH 44107-2430
(216) 512-3680
Mailing address
1213 VIRGINIA AVE, LAKEWOOD, OH 44107-2430
(216) 512-3680
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
07/04/2023
Last updated
07/04/2023
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