DESHONE LAVETTE JACKSON

COPLEY, OH
NPI1740845882
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
(Licence: OH  0216012)
Additional Taxonomies374U00000X Home Health Aide
Enumeration Date2019-05-03
Last Update Date2023-11-17
Business Address
DESHONE LAVETTE JACKSON
2323 SHELVA LN
COPLEY, OH 44321-2534
Phone number: 330-289-2364
Mailing Address
DESHONE LAVETTE JACKSON
2323 SHELVA LN
COPLEY, OH 44321-2534
Phone number: 330-289-2364