Individual
JACQUELINE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1840 CORDOVA AVE, YOUNGSTOWN, OH 44504-1808
(330) 942-6896
Mailing address
1840 CORDOVA AVE, YOUNGSTOWN, OH 44504-1808
(330) 942-6896
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/04/2023
Last updated
04/04/2023
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