JAQUIETTA R ISOM

LORAIN, OH
NPI1972259109
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OH  174003-MEDS-IV)
Enumeration Date2022-02-25
Last Update Date2022-02-25
Business Address
JAQUIETTA R ISOM LPN
719 W 21ST ST
LORAIN, OH 44052-4729
Phone number: 440-654-3054
Mailing Address
JAQUIETTA R ISOM LPN
719 W 21ST ST
LORAIN, OH 44052-4729
Phone number: 440-654-3054
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