Individual
KATRINA M JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1725 SHATTO AVE, AKRON, OH 44313-6323
(330) 396-0131
Mailing address
1725 SHATTO AVE, AKRON, OH 44313-6323
(330) 396-0131
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2320125
—
OH
Enumeration date
05/29/2008
Last updated
05/29/2008
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