Individual
MRS. JACQUELINE KAY SCHADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
41641 N RIDGE RD # 3, ELYRIA, OH 44035-1264
(440) 324-7406
Mailing address
41641 N RIDGE RD # 3, ELYRIA, OH 44035-1264
(440) 324-7406
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
LPN.146870.MEDS-IV
OH
Other
Enumeration date
05/31/2018
Last updated
05/31/2018
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