Individual
CHRISTEN LYNN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1721 CARLL ST, CINCINNATI, OH 45225-1939
(513) 253-4664
Mailing address
3706 WOODBINE AVE APT 2, CINCINNATI, OH 45211-4636
(513) 253-4664
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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