Individual
IESHA JOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4456 HABERSHAM LN N, RICHMOND HEIGHTS, OH 44143-2612
(216) 269-5242
Mailing address
4456 HABERSHAM LN N, RICHMOND HEIGHTS, OH 44143-2612
(216) 269-5242
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
149501-M-IV
OH
Other
Enumeration date
12/16/2024
Last updated
05/02/2025
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