Jonathan Earl Walls
Technician, Personal Care Attendant in Windham, OH. Individual provider (NPI-1).
NPI number1942012174
StatusActive
Last updated in NPPESJan 24, 2025
Details
- NPI
- 1942012174
- Entity type
- Individual (NPI-1)
- Name
- Jonathan Earl Walls
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 24, 2025
- Certification date
- Jan 24, 2025
- Last updated
- Jan 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | 111111 | OH | Yes |
Practice location
7763 State Route 303Windham, OH 44288-9791
Phone 330-442-2813
Mailing address
7763 State Route 303Windham, OH 44288-9791
Phone 330-442-2813
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