Individual
MISS DEBORAH A JACKSON I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5931 MEDALLION DR E, WESTERVILLE, OH 43082-9059
(614) 678-3049
Mailing address
5931 MEDALLION DR E, WESTERVILLE, OH 43082-9059
(614) 678-3049
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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