Individual
BRIANNA INA/ NICOLE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18074 BLANDFORD RD, CLEVELAND, OH 44121-1030
(216) 463-0804
Mailing address
18074 BLANDFORD RD, CLEVELAND, OH 44121-1030
(216) 463-0804
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
OH
Other
Enumeration date
12/30/2024
Last updated
12/30/2024
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