Carl'averis Jackson

NPI #1104419092 in Dayton, Ohio

Provider Information

NPI Number
1104419092
Entity Type
Individual
Name
Carl'averis Jackson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Technician - Personal Care Attendant
Enumeration Date
Feb 11, 2021
Last Updated
Feb 11, 2021

Practice Location

Address
1646 WESLEYAN RD # B
City
Dayton
State
Ohio
ZIP Code
45406-3606
Phone
(937) 985-2275

Specialties & Taxonomy Codes

Specialty
Home Health Aide
Technician - Personal Care AttendantPersonal Care Attendant

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