Individual
AMY JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
118 DAVE AVE APT 306, LEBANON, OH 45036-2728
(513) 850-9570
Mailing address
118 DAVE AVE APT 306, LEBANON, OH 45036-2728
(513) 850-9570
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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