Individual
MRS. JALIAH NICOLE CLISBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5883 BUCKEYE LN, MENTOR ON THE LAKE, OH 44060-2808
(216) 906-0276
Mailing address
5883 BUCKEYE LN, MENTOR ON THE LAKE, OH 44060-2808
(216) 906-0276
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/11/2022
Last updated
02/11/2022
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