Individual
MRS. JENNIFER ANN WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA-IP
Contact information
Practice address
22 BALTIMORE ST, DAYTON, OH 45404-1951
(937) 271-8685
Mailing address
22 BALTIMORE ST, DAYTON, OH 45404-1951
(937) 271-8685
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2623594
—
OH
Enumeration date
12/06/2006
Last updated
07/09/2007
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