Individual
CHERELLE LAVETT JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
763 PALMER AVE, YOUNGSTOWN, OH 44502-2530
(234) 716-4930
Mailing address
763 PALMER AVE, YOUNGSTOWN, OH 44502-2530
(234) 716-4930
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/29/2021
Last updated
01/30/2021
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