Individual
KRYSTAL LYNN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5411 KNOLLWOOD DR APT 9, PARMA, OH 44129-1660
(216) 262-7444
Mailing address
5411 KNOLLWOOD DR APT 9, PARMA, OH 44129-1660
(216) 262-7444
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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