Individual
MRS. DIONNA M JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4908 SWETLAND BLVD, RICHMOND HEIGHTS, OH 44143-1417
(216) 640-3978
Mailing address
4908 SWETLAND BLVD, RICHMOND HEIGHTS, OH 44143-1417
(216) 640-3978
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
156488
OH
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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