Individual
JASON INGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
202 CHERRY ST, WAVERLY, OH 45690-1236
(740) 222-3141
Mailing address
202 CHERRY ST, WAVERLY, OH 45690-1236
(740) 222-3141
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
09/15/2023
Last updated
09/15/2023
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