Individual
JACQUELINE BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3677 MENLO RD, SHAKER HEIGHTS, OH 44120-5058
(216) 200-9358
Mailing address
3677 MENLO RD, SHAKER HEIGHTS, OH 44120-5058
(216) 200-9358
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/10/2025
Last updated
05/20/2025
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