Individual
MR. JAY EDWARD PAXTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
AVRC 486 SOUTH MAIN STREET, ANDOVER, OH 44003
(440) 293-6079
Mailing address
27 QUARRY HILL RD, GREENVILLE, PA 16125-9779
(724) 588-5984
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
06144
OH
Other
Enumeration date
08/08/2008
Last updated
08/08/2008
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