Individual
MISS BRITTANY JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5712 ADOLPHA AVE, CLEVELAND, OH 44127-1713
(216) 860-8588
Mailing address
5712 ADOLPHA AVE., CLEVELAND, OH 44127
(216) 860-8588
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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