Individual
MS. DEBORAH M JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CARE GIVER
Contact information
Practice address
1026 LEXINGTON AVE APT 30, DAYTON, OH 45402-5600
(937) 830-9284
Mailing address
120 CAMBRIDGE AVE, DAYTON, OH 45406-5005
(937) 830-9284
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
12/21/2022
Last updated
12/21/2022
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