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NPI Code Detail

MEDICARE: JA'NYA UNIQUE ELIZABETH ANDERSON

MEDICARE:   JA'NYA UNIQUE ELIZABETH ANDERSON
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
1374U00000XHome Health Aide

General Provider Information

NPI Number : 1255142360
Entity Type Code : Individual
Provider Name (Legal Business Name) : JA'NYA UNIQUE ELIZABETH ANDERSON
Provider Business Mailing Address
First Line : 430 EVERETT ST
Second Line :
City : TOLEDO
State : OH
Zip : 43608-2439
Country : US
Telephone Number : 419-973-4016
Fax Number :
Provider Business Practice Location Address
First Line : 430 EVERETT ST
Second Line :
City : TOLEDO
State : OH
Zip : 43608-2439
Country : US
Telephone Number : 419-973-4016
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2025
Last Update Date : 01/17/2025

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Directions to “ JA'NYA UNIQUE ELIZABETH ANDERSON ” Practice Location

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