Individual
DENISE MARCEL JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3825 GROSVENOR RD, CLEVELAND, OH 44118-2313
(216) 246-4265
Mailing address
3825 GROSVENOR RD, CLEVELAND, OH 44118-2313
(216) 246-4265
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
—
OH
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/04/2021
Last updated
01/04/2021
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