Individual
MS. DIONNE RAYSHELLE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6400 CENTER ST, UNIT 6, MENTOR, OH 44060-4115
(440) 382-9377
Mailing address
6400 CENTER ST, UNIT 6, MENTOR, OH 44060-4115
(440) 382-9377
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
02/15/2012
Last updated
02/15/2012
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