Most Relevant Information
Provider Data
| NPI Number: | 1003328410 |
| Provider Name: | BRIEANA LEE JARVIS |
| Entity Type: | Individual |
| Taxonomy Code: | 374U00000X |
| Specialty: | Home Health Aide |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/26/2017 |
| Last Updated: | 10/26/2017 |
Provider Practice Location
125 THOREAU LN
XENIA
OH
453852757
Practice Location Phone/Fax
| Phone: | 9377080477 |
| Fax: |
Provider Mailing Location
125 THOREAU LN
XENIA
OH
453852757
Provider Mailing Phone/Fax
| Phone: | 9377080477 |
| Fax: |