Individual
MISS KADIJAH C JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
723 THORNHILL DR, CLEVELAND, OH 44108-2312
(216) 571-2618
Mailing address
723 THORNHILL DR, CLEVELAND, OH 44108-2312
(216) 571-2618
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN-349859
OH
Other
Enumeration date
09/06/2011
Last updated
09/06/2011
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