Individual provider · NPI-1

Jacqueline Marie Baumgardner

Technician, Attendant Care Provider · Dayton, OH

NPI number1326760232
StatusActive
Last updated in NPPESSep 16, 2022

Details

NPI
1326760232
Entity type
Individual (NPI-1)
Name
Jacqueline Marie Baumgardner
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 16, 2022
Certification date
Sep 16, 2022
Last updated
Sep 16, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747A0650X Technician, Attendant Care Provider––Yes

Practice location

5225 Seaman Dr
Dayton, OH 45424-4367

Phone 937-609-6652

Mailing address

5225 Seaman Dr
Dayton, OH 45424-4367

Phone 937-609-6652

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