Individual
JEANNIE I VANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
562 VESPER DR, NEWARK, OH 43055-7611
(740) 364-1604
Mailing address
4930 TOWNSHIP ROAD 383, GLENFORD, OH 43739-9706
(740) 605-7032
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
02/14/2023
Last updated
02/14/2023
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