ANDREA JACKSON

WARREN, OH
NPI1578927638
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OH  409719)
Enumeration Date2016-04-05
Last Update Date2016-04-05
Business Address
-- ANDREA JACKSON LPN
1617 WOODBINE AVE SE
WARREN, OH 44484-4964
Phone number: 313-333-4130
Mailing Address
-- ANDREA JACKSON LPN
1617 WOODBINE AVE SE
WARREN, OH 44484-4964
Phone number: 313-333-4130
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