Provider Demographics
NPI:1891004693
Name:JAM ES, SANTERICA NASHEA
Entity Type:Individual
Prefix:
First Name:SANTERICA
Middle Name:NASHEA
Last Name:JAM ES
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 1:117 E STREICHER ST
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43608-1821
Mailing Address - Country:US
Mailing Address - Phone:419-917-1780
Mailing Address - Fax:
Practice Address - Street 1:117 E STREICHER ST
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43608-1821
Practice Address - Country:US
Practice Address - Phone:419-917-1780
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-28
Last Update Date:2010-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No376K00000XNursing Service Related ProvidersNurse's Aide