Individual
JENNIFER MARIE MAYNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
650 FERNDALE AVE, VERMILION, OH 44089-2479
(419) 681-4138
Mailing address
650 FERNDALE AVE, VERMILION, OH 44089-2479
(419) 681-4138
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401810011215
OH
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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