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Jennifer Irilisses Ocasio Declet

Home Health Aide in Youngstown, OH. Individual provider (NPI-1).

NPI number1609650910
StatusActive
Last updated in NPPESAug 21, 2023

Details

NPI
1609650910
Entity type
Individual (NPI-1)
Name
Jennifer Irilisses Ocasio Declet
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 21, 2023
Certification date
Aug 20, 2023
Last updated
Aug 21, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health Aide–OHYes

Practice location

2739 Jean St
Youngstown, OH 44502-2708

Phone 787-702-3375

Mailing address

2739 Jean St
Youngstown, OH 44502-2708

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