Individual
MALAYSIA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1171 E KEMPER RD STE 201, CINCINNATI, OH 45246-3322
(513) 400-4005
Mailing address
7975 CANADA AVE UNIT 712, ORLANDO, FL 32819-9346
(513) 400-4005
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
03/01/2021
Last updated
06/23/2021
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