Individual
MS. JACQUELINE FAYE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1118 COUNTRY CREEK LN, TOLEDO, OH 43615-7029
(567) 249-3434
Mailing address
1645 INDIANA AVE, TOLEDO, OH 43607-3966
(567) 249-3434
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
4808846
OH
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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