TRACI JACKSON

Technician - Personal Care Attendant

Active Individual
NPI: 1295323897

Practice Address

38365 NORTH LN
Willoughby, OH 44094

Phone: (440) 749-6343

Specialties

Specialty Code Primary License
Technician - Personal Care Attendant 3747P1801X Yes -

Frequently Asked Questions

NPI 1295323897 is the National Provider Identifier for TRACI JACKSON, a Technician - Personal Care Attendant provider located in Willoughby, OH. This NPI was enumerated on January 8, 2021.
TRACI JACKSON practices at 38365 NORTH LN, Willoughby, OH 44094.

Quick Facts

NPI
1295323897
Type
Individual
Enumerated
Jan 8, 2021
Last Updated
Jan 8, 2021

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