MS. Diana Lynn Jackson

NPI #1104552884 in Trotwood, Ohio

Provider Information

NPI Number
1104552884
Entity Type
Individual
Name
MS. Diana Lynn Jackson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
Jul 26, 2022
Last Updated
Jul 26, 2022

Practice Location

Address
481 GINGER PL
State
Ohio
ZIP Code
45426-3034
Phone
(937) 304-0942

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program

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