Individual
MISS JACQUELINE BECKETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6913 WORLEY AVE., CLEVELAND, OH 44105
(216) 441-8586
Mailing address
6913 WORLEY AVE, CLEVELAND, OH 44105-3724
(216) 496-4606
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
363892301289E
OH
Other
Enumeration date
11/16/2009
Last updated
10/02/2018
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