DOMINIQUE SHAVANTA JACKSON

CLEVELAND, OH
NPI1689426793
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy376K00000X Nurse's Aide
Additional Taxonomies372600000X Adult Companion
Enumeration Date2024-04-02
Last Update Date2024-04-02
Business Address
DOMINIQUE SHAVANTA JACKSON
4114 E 141ST ST
CLEVELAND, OH 44128-1806
Phone number: 216-501-3289
Mailing Address
DOMINIQUE SHAVANTA JACKSON
4114 E 141ST ST
CLEVELAND, OH 44128-1806
Phone number: 216-501-3289