Individual
JADA BLUE DEGARMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17273 OH- 104, CHILLICOTHE, OH 45601
(740) 773-1141
Mailing address
278 SCOTT RD, CHILLICOTHE, OH 45601-9183
(740) 701-2549
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
187446
OH
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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