Individual
JACQUELINE DENISE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA / OCDT
Contact information
Practice address
5340 M ST NE, MAGNOLIA, OH 44643-8466
(440) 213-5996
Mailing address
5340 M ST NE, MAGNOLIA, OH 44643-8466
(440) 213-5996
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
OH
Other
Enumeration date
07/17/2017
Last updated
07/21/2022
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