Individual
NANCY M JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4019 OVERLAND PKWY, TOLEDO, OH 43612-1616
(419) 478-6464
Mailing address
4019 OVERLAND PKWY, TOLEDO, OH 43612-1616
(419) 478-6464
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
06/24/2009
Last updated
06/24/2009
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