Individual
JAZMONE DAVISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4368 DRESSLER RD NW STE 201B, CANTON, OH 44718-2772
(330) 284-2856
(330) 830-6534
Mailing address
PO BOX 35521, CANTON, OH 44735-5521
(216) 412-8080
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
374943
OH
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/03/2023
Last updated
06/06/2025
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