Individual
JESSICA LYNN DERWENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
109 MUIRWOOD VILLAGE DR, DELAWARE, OH 43015-1082
(740) 369-2213
Mailing address
1909 ST. RT. 257 N, OSTRANDER, OH 43061-9721
(740) 272-8099
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
2663550
OH
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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