Jessica Custard

NPI #1205601168 in Chardon, Ohio

Provider Information

NPI Number: 1205601168
Entity Type: Individual
Name: Jessica Custard
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Nov 21, 2023
Last Updated: Nov 21, 2023

Practice Location

Address: 12041 RAVENNA RD
City: Chardon
State: Ohio
ZIP Code: 44024-7008
Phone: (440) 286-7154

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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