Individual
BRYANT DESHON JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
563 E 260TH ST, EUCLID, OH 44132-1948
(216) 647-7477
Mailing address
563 E 260TH ST, EUCLID, OH 44132-1948
(216) 647-7477
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/01/2019
Last updated
11/01/2019
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