Individual
SHANTANYA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4554 WESTWAY ST, TOLEDO, OH 43612-2251
(567) 278-2002
Mailing address
4554 WESTWAY ST, TOLEDO, OH 43612-2251
(567) 278-2002
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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