Individual
MS. STACI RENEE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25493 HALBURTON RD, BEACHWOOD, OH 44122
(216) 458-7988
Mailing address
24801 LAKESHORE BLVD, APT 702B, EUCLID, OH 44123
(216) 458-7988
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2599424
—
OH
Enumeration date
04/10/2007
Last updated
07/08/2007
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