Individual
DWANDA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10802 PLYMOUTH AVE, GARFIELD HTS, OH 44125-2704
(440) 657-2635
Mailing address
10802 PLYMOUTH AVE, GARFIELD HTS, OH 44125-2704
(440) 657-2635
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/27/2023
Last updated
02/07/2023
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