SHANTIEA M JACKSON

CANTON, OH
NPI1952859605
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OH  LPN.128068.MEDS-IV)
Enumeration Date2016-09-12
Last Update Date2016-09-12
Business Address
-- SHANTIEA M JACKSON LPN
625 CLEVELAND AVE NW
CANTON, OH 44702-1805
Phone number: 330-453-8252
Mailing Address
-- SHANTIEA M JACKSON LPN
625 CLEVELAND AVE NW
CANTON, OH 44702-1805
Phone number: 330-453-8252
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