Individual
CIERA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3408 WORLEY PL, TOLEDO, OH 43608-1347
(567) 315-9545
Mailing address
3408 WORLEY PL, TOLEDO, OH 43608-1347
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703128430
MI
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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