Individual
ALVERIA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
20699 DONNY BROOK RD, MAPLE HEIGHTS, OH 44137-3141
(216) 632-0753
Mailing address
20699 DONNY BROOK RD, MAPLE HEIGHTS, OH 44137-3141
(216) 632-0753
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.076048.MEDS
OH
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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