Individual
JAKEISTA CUNDIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
635 W BOSTON AVE, YOUNGSTOWN, OH 44511-3123
(330) 999-9563
Mailing address
635 W BOSTON AVE, YOUNGSTOWN, OH 44511-3123
(330) 999-9563
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
402248910220
OH
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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