SHAQUILLE JEFFERSON

MEDINA, OH
NPI1730685934
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2018-04-05
Last Update Date2019-01-16
Business Address
SHAQUILLE JEFFERSON
801 E WASHINGTON ST STE 150
MEDINA, OH 44256-3336
Phone number: 330-264-3232
Mailing Address
SHAQUILLE JEFFERSON
801 E. WASINGTON ST. SUITE 150
MEDINA, OH 44256-3336
Phone number: 330-722-1069