Individual
JESSICA R GARUCCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1000 AUBURN DR # 210, BEACHWOOD, OH 44122-4317
(216) 844-5595
(216) 844-5522
Mailing address
24701 EUCLID AVE, THIRD FLOOR BILLING SERVICES, EUCLID, OH 44117-1714
(216) 844-5595
(216) 844-5522
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.003710
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0081990
—
OH
01
—
50.003710
LICENSE
OH
Enumeration date
03/27/2013
Last updated
01/14/2021
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