Individual
RICKELA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
727 N COLUMBUS ST, APT 1, LANCASTER, OH 43130-2540
(614) 000-0000
Mailing address
727 N COLUMBUS ST, APT 1, LANCASTER, OH 43130-2540
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
07/02/2014
Last updated
09/22/2014
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