Individual
JESSICA MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16 W LONG ST, COLUMBUS, OH 43215-2815
(614) 225-0988
Mailing address
712 SHAKERTON LN, COLUMBUS, OH 43228-9046
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
09/13/2017
Last updated
09/13/2017
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