Search › Ohio › 103T00000X
Jacqueline Jolly
NPI 1942317185 · on the registry since 2006 · sole proprietor
Practice
- Address
- 3642 Avalon Rd
Shaker Heights, OH 44120 - Phone
- (216) 561-0190
- Fax
- (216) 321-3408
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Also registered as
- 103T00000X
- Licence states on file
- OH, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
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