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NPI Code Detail

MEDICARE: MRS. JESSICA LYNN BAINBRIDGE HEALTH SERVICES TECH

MEDICARE:  MRS. JESSICA LYNN BAINBRIDGE  HEALTH SERVICES TECH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1247200000XOther Technician

General Provider Information

NPI Number : 1629749171
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JESSICA LYNN BAINBRIDGE HEALTH SERVICES TECH
Provider Business Mailing Address
First Line : 1240 E 9TH ST RM 2693
Second Line :
City : CLEVELAND
State : OH
Zip : 44199-9904
Country : US
Telephone Number : 216-902-6260
Fax Number :
Provider Business Practice Location Address
First Line : 1240 E 9TH ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44199-2061
Country : US
Telephone Number : 216-902-6260
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2021
Last Update Date : 09/24/2021

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Directions to “ MRS. JESSICA LYNN BAINBRIDGE HEALTH SERVICES TECH” Practice Location

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