Sophia Loren Jackson

NPI #1164208559 in Canal Winchester, Ohio

Provider Information

NPI Number: 1164208559
Entity Type: Individual
Name: Sophia Loren Jackson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Home Health Aide
Enumeration Date: Sep 1, 2023
Last Updated: Sep 1, 2023

Practice Location

Address: 6863 KINSTON DR
City: Canal Winchester
State: Ohio
ZIP Code: 43110-9325
Phone: (614) 209-4699

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health Aide	374U00000X	Primary

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