Provider Demographics
NPI:1568221299
Name:JABER, KATIA A
Entity Type:Individual
Prefix:MRS
First Name:KATIA
Middle Name:A
Last Name:JABER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7235 OAK HILL DR
Mailing Address - Street 2:
Mailing Address - City:SYLVANIA
Mailing Address - State:OH
Mailing Address - Zip Code:43560-1308
Mailing Address - Country:US
Mailing Address - Phone:313-525-0049
Mailing Address - Fax:
Practice Address - Street 1:7235 OAK HILL DR
Practice Address - Street 2:
Practice Address - City:SYLVANIA
Practice Address - State:OH
Practice Address - Zip Code:43560-1308
Practice Address - Country:US
Practice Address - Phone:313-525-0049
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-15
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant