Individual
JACQUELYNNE J ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3029 7TH ST SW, APT. B, CANTON, OH 44710-1673
(330) 354-9236
Mailing address
3029 7TH ST SW, APT. B, CANTON, OH 44710-1673
(330) 354-9236
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN101290
OH
Other
Enumeration date
07/29/2013
Last updated
07/29/2013
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