Individual
JACKSON EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8637 STATE ROUTE 41, WEST UNION, OH 45693-8962
(937) 779-7499
Mailing address
8637 STATE ROUTE 41, WEST UNION, OH 45693-8962
(937) 779-7499
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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