JACOB RYAN BAISDEN

JACKSON, OH
NPI1760141386
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy374U00000X Home Health Aide
(Licence: OH  374U00000X)
Enumeration Date2021-12-10
Last Update Date2021-12-10
Business Address
JACOB RYAN BAISDEN
25 S HIGH ST
JACKSON, OH 45640-1812
Phone number: 740-988-8637
Mailing Address
JACOB RYAN BAISDEN
25 S HIGH ST
JACKSON, OH 45640-1812
Phone number: 740-988-8637