Individual
CHERYL RENEE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12713 W DESERT ROSE RD, AVONDALE, AZ 85392-7007
(216) 789-9116
Mailing address
12713 W DESERT ROSE RD, AVONDALE, AZ 85392-7007
(216) 789-9116
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/19/2022
Last updated
10/19/2022
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