Individual
JODI PHARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1007 BEVAN CT, ENGLEWOOD, OH 45322-2418
(937) 344-7179
Mailing address
1007 BEVAN CT, ENGLEWOOD, OH 45322-2418
(937) 344-7179
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
03/27/2023
Last updated
03/29/2023
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