IndividualActive
Jacqulyne Davis, RPSGT/RST
NPI 1306607668 · Other Technician · Cleveland, OH
Provider details
- NPI number
- 1306607668
- Entity type
- Individual
- Primary specialty
- Other TechnicianTechnologists, Technicians & Other Technical Service Providers
- Credential
- RPSGT/RST
- Sex
- Female
- Sole proprietor
- Yes
- License
- 211114 (OH)
Mailing address
10701 East Blvd
Cleveland, OH 44106-1702
Registry dates
- Enumerated
- 2024-01-23
- Last updated
- 2024-01-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.