SHATONNE DIANNE JACKSON

DAYTON, OH
NPI1568897783
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy313M00000X Nursing Facility/Intermediate Care Facility
(Licence: OH  149943)
Enumeration Date2013-09-06
Last Update Date2013-09-06
Business Address
Ms. SHATONNE DIANNE JACKSON LPN
616 ELLSWORTH DR
DAYTON, OH 45426
Phone number: 937-581-5081
Mailing Address
Ms. SHATONNE DIANNE JACKSON LPN
616 ELLSWORTHY DR
DAYTON, OH 45426
Phone number: 937-581-5081
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