Search › Ohio › 171100000X
Carmen Samuels-Jacksom
NPI 1619370442 · on the registry since 2014 · sole proprietor
Practice
- Address
- 26525 Amhearst Cir
110
Beachwood, OH 44122 - Phone
- (862) 202-3910
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-10-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio