JACOB ALLEN PORTER

CAMBRIDGE, OH
NPI1023898210
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
(Licence: OH  Ut786433)
Enumeration Date2023-10-04
Last Update Date2023-10-04
Business Address
JACOB ALLEN PORTER
65347 LAKE RD LOT B
CAMBRIDGE, OH 43725-8519
Phone number: 740-801-2983
Mailing Address
JACOB ALLEN PORTER
13351 CONQUER HILL RD
BYESVILLE, OH 43723-9683
Phone number: 740-801-2983