Individual
JEREMY KATULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1366 TOWN HALL RD, BEAVERCREEK, OH 45432-2619
(937) 475-8259
Mailing address
1366 TOWN HALL RD, BEAVERCREEK, OH 45432-2619
(937) 475-8259
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
01/16/2024
Last updated
01/16/2024
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