Individual
LINDA JACQUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 HAINES RD, ORWELL, OH 44076-9645
(440) 667-1177
Mailing address
1700 HAINES RD, ORWELL, OH 44076-9645
(440) 667-1177
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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