Individual
MS. BRENDA LYNN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S. BUSINESS
Contact information
Practice address
2088 STEDMAN LN, DAYTON, OH 45431-3000
(937) 797-7627
Mailing address
2088 STEDMAN LN, DAYTON, OH 45431-3000
(937) 797-7627
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
UX856711
OH
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/04/2022
Last updated
11/04/2022
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