Jaquietta R Isom, LPN

NPI #1972259109 in Lorain, Ohio

Provider Information

NPI Number
1972259109
Entity Type
Individual
Name
Jaquietta R Isom, LPN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Feb 25, 2022
Last Updated
Feb 25, 2022

Practice Location

Address
719 W 21ST ST
City
Lorain
State
Ohio
ZIP Code
44052-4729
Phone
(440) 654-3054

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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