Individual
MS. DOLORES JACKSONWILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
999 MARIETTA DR, PAINESVILLE, OH 44077-2704
(440) 357-0340
(440) 357-0340
Mailing address
999 MARIETTA DR, PAINESVILLE, OH 44077-2704
(440) 357-0340
(440) 357-0340
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 117755 MEDS
OH
Other
Enumeration date
05/13/2008
Last updated
05/13/2008
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