Individual
PARITA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
921 CLEVERLY RD, DAYTON, OH 45417-1106
(513) 570-9200
Mailing address
5377 SALEM BEND DR APT C, DAYTON, OH 45426-1635
(513) 514-6645
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
321349900806
OH
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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