Individual
JALYN YVETTE WINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
227 CANDLEWOOD PL, SAINT MARYS, OH 45885-9661
(419) 953-9518
Mailing address
227 CANDLEWOOD PL, SAINT MARYS, OH 45885-9661
(419) 953-9518
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
401658920614
OH
Other
Enumeration date
04/16/2015
Last updated
04/16/2015
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