Individual
DELMESHA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
95B BARLEY DR, PAINESVILLE, OH 44077-5349
(440) 251-9701
Mailing address
95B BARLEY DR, PAINESVILLE, OH 44077-5349
(440) 251-9701
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
400685531107
OH
Other
Enumeration date
10/08/2014
Last updated
10/08/2014
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