Individual
JEREMY MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
109 MARISA DR, MIDDLETOWN, OH 45042-4941
(513) 262-8893
Mailing address
3826 CALIFORNIA AVE, KETTERING, OH 45429-3332
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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