Individual
JONATHAN EARL WALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7763 STATE ROUTE 303, WINDHAM, OH 44288-9791
(330) 442-2813
Mailing address
7763 STATE ROUTE 303, WINDHAM, OH 44288-9791
(330) 442-2813
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
111111
OH
Other
Enumeration date
01/24/2025
Last updated
01/24/2025
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