Individual
MS. JACQUELINE ANN CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1238 W 24TH ST, LORAIN, OH 44052-4522
(440) 244-0042
(440) 960-0178
Mailing address
1238 W 24TH ST, LORAIN, OH 44052-4522
(440) 244-0042
(440) 960-0178
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
077068
OH
Other
Enumeration date
06/03/2008
Last updated
06/03/2008
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