Individual
KIMBERLY M JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1766 BEECHWOOD AVE NE, NORTH CANTON, OH 44720-9101
(234) 215-4444
Mailing address
1766 BEECHWOOD AVE NE, NORTH CANTON, OH 44720-9101
(234) 215-4444
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
Primary
RN602741
OH
Other
Enumeration date
11/17/2023
Last updated
11/17/2023
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