TRACY JACKSON

CLEVELAND, OH
NPI1952779209
Former NameTRACY JACKSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy376K00000X Nurse's Aide
(Licence: OH  401185830111)
Enumeration Date2015-09-03
Last Update Date2015-09-03
Business Address
-- TRACY JACKSON
11210 ORVILLE AVE
CLEVELAND, OH 44106-1327
Phone number: 216-937-5173
Mailing Address
-- TRACY JACKSON
11210 ORVILLE AVE
CLEVELAND, OH 44106-1327
Phone number: 216-937-5173
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