Jessica Lane Hodge

NPI #1760621478 in Malvern, Ohio

Provider Information

NPI Number: 1760621478
Entity Type: Individual
Name: Jessica Lane Hodge
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Home Health Aide
Enumeration Date: Feb 19, 2009
Last Updated: Feb 19, 2009

Practice Location

Address: 325 EAST PORTER ST.
Address 2: APT. 5
City: Malvern
State: Ohio
ZIP Code: 44644
Phone: (330) 209-3802

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health Aide	374U00000X	Primary

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