Individual
JACQUELINE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
108 DODGE AVE, AKRON, OH 44302-1218
(330) 433-3114
Mailing address
108 DODGE AVE, AKRON, OH 44302-1218
(330) 433-3114
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
OH
Other
Enumeration date
09/26/2020
Last updated
09/26/2020
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