Individual
CORAZETTA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18207 HARVARD AVE, CLEVELAND, OH 44128-1742
(216) 303-3088
Mailing address
18207 HARVARD AVE, CLEVELAND, OH 44128-1742
(216) 303-3088
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
OH
Other
Enumeration date
04/17/2023
Last updated
04/17/2023
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