Individual
DONETTA TERRE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1717 BERKLEY AVE, CINCINNATI, OH 45237-6113
(513) 557-6978
Mailing address
1717 BERKLEY AVE, CINCINNATI, OH 45237-6113
(513) 557-6978
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/18/2021
Last updated
05/18/2021
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