Individual
FURAE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19550 EUCLID AVE APT 303, EUCLID, OH 44117-1432
(216) 583-6018
Mailing address
19550 EUCLID AVE APT 303, EUCLID, OH 44117-1432
(216) 583-6018
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/07/2015
Last updated
06/07/2015
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