Individual
KRISTINA YVETTE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6548 ROYALTON RD STE 101, NORTH ROYALTON, OH 44133-4976
(440) 305-2822
Mailing address
11285 DRAKE RD, NORTH ROYALTON, OH 44133-5405
(440) 305-2822
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
691-S
OH
237700000X
Hearing Instrument Specialist
Primary
03151
OH
Other
Enumeration date
10/24/2013
Last updated
02/15/2024
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