Individual
DESHAE RENEE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CD(DONA)
Contact information
Practice address
2137 RAVENWOOD AVE, DAYTON, OH 45406-2907
(714) 514-3366
Mailing address
2137 RAVENWOOD AVE, DAYTON, OH 45406-2907
(714) 541-3366
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
OH
Other
Enumeration date
02/29/2024
Last updated
10/02/2025
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