Jackie E. Wolgamott

NPI #1568060523 in Leesburg, Ohio

Provider Information

NPI Number: 1568060523
Entity Type: Individual
Name: Jackie E. Wolgamott
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Home Health Aide
Enumeration Date: Oct 13, 2020
Last Updated: Oct 13, 2020

Practice Location

Address: 111 FORREST AVE
City: Leesburg
State: Ohio
ZIP Code: 45135-9620
Phone: (330) 260-0311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health Aide	374U00000X	Primary

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