Individual
JACQUELINE ANNA MARIE ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
354 FRANK STREET, BARBERTON, OH 44203
(330) 848-5383
Mailing address
28 18TH STREET NW, BARBERTON, OH 44203
(330) 431-9321
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
2272503
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2272503
—
OH
Enumeration date
05/08/2007
Last updated
07/08/2007
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