LARESA A JACKSON

CLEVELAND, OH
NPI1205185394
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy376K00000X Nurse's Aide
(Licence: OH  400348660404)
Enumeration Date2012-09-05
Last Update Date2012-09-05
Business Address
-- LARESA A JACKSON
924 IDA RD.
CLEVELAND, OH 44103
Phone number: 216-210-1772
Mailing Address
-- LARESA A JACKSON
924 IDA RD.
CLEVELAND, OH 44103
Phone number: 216-210-1772
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