Individual
MR. JUSTIN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
63 ALJOY CT APT 8, CINCINNATI, OH 45215-3666
(513) 305-0922
Mailing address
63 ALJOY CT APT 8, CINCINNATI, OH 45215-3666
(513) 305-0922
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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