CHITAQUA JACKSON

BEDFORD, OH
NPI1659774438
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OH  PN155941)
Enumeration Date2014-10-07
Last Update Date2014-10-07
Business Address
Mrs. CHITAQUA JACKSON LPN
860 BROADWAY AVE
BEDFORD, OH 44146
Phone number: 412-225-6763
Mailing Address
Mrs. CHITAQUA JACKSON LPN
860 BROADWAY AVE
BEDFORD, OH 44146
Phone number: 412-225-6763
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