Individual provider · NPI-1
Jafar M Abushaqra
Home Health Aide · Dayton, OH
NPI number1487184552
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1487184552
- Entity type
- Individual (NPI-1)
- Name
- Jafar M Abushaqra
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 12, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
Practice location
1840 W 3rd StDayton, OH 45417-2537
Phone 937-262-8582
Mailing address
1840 W 3rd StDayton, OH 45417-2537
Phone 937-262-8582
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