Individual
LATOYA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
480 HARMONY LN, CAMPBELL, OH 44405-1213
(330) 330-0865
Mailing address
480 HARMONY LN, CAMPBELL, OH 44405-1213
(330) 330-0865
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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