Individual
TAIZIA M JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1516 W MARKET ST APT 2, AKRON, OH 44313-7133
(330) 328-4235
Mailing address
1516 W MARKET ST APT 2, AKRON, OH 44313-7133
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401684640814
OH
Other
Enumeration date
02/03/2020
Last updated
02/03/2020
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