Individual
JORDYN JOANNE ELLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
615 WAVERLY AVE, TOLEDO, OH 43607-3837
(419) 367-5754
Mailing address
615 WAVERLY AVE, TOLEDO, OH 43607-3837
(419) 367-5754
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
OH
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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