Individual
ANGELETTA MARIE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1490 E 193RD ST APT 641, EUCLID, OH 44117-1351
(216) 544-2983
Mailing address
1490 E 193RD ST APT 641, EUCLID, OH 44117-1351
(216) 544-2983
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
RK999348
OH
Other
Enumeration date
01/15/2026
Last updated
01/15/2026
About Stedi
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