Dionne Rayshelle Jackson
Home Health Aide in Mentor, OH. Individual provider (NPI-1).
NPI number1831462282
StatusActive
Last updated in NPPESFeb 15, 2012
Details
- NPI
- 1831462282
- Entity type
- Individual (NPI-1)
- Name
- Ms. Dionne Rayshelle Jackson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 15, 2012
- Last updated
- Feb 15, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
Practice location
6400 Center StUnit 6
Mentor, OH 44060-4115
Phone 440-382-9377
Mailing address
6400 Center StUnit 6
Mentor, OH 44060-4115
Phone 440-382-9377
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