Jessica Rae Harbaugh
Community Health Worker in Cleveland, OH. Individual provider (NPI-1).
NPI number1164040283
StatusActive
Last updated in NPPESJul 7, 2020
Details
- NPI
- 1164040283
- Entity type
- Individual (NPI-1)
- Name
- Jessica Rae Harbaugh
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 7, 2020
- Certification date
- Jul 7, 2020
- Last updated
- Jul 7, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
3518 W 25th StCleveland, OH 44109-1951
Phone 216-741-2241
Mailing address
3518 W 25th StCleveland, OH 44109-1951
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