Bethany Marie Jackson

NPI #1215773585 in Wadsworth, Ohio

Provider Information

NPI Number: 1215773585
Entity Type: Individual
Name: Bethany Marie Jackson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Homemaker
Enumeration Date: Jul 5, 2024
Last Updated: Jul 5, 2024

Practice Location

Address: 175 FRANKS AVE
City: Wadsworth
State: Ohio
ZIP Code: 44281-1607
Phone: (330) 814-2101

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary
Driver	172A00000X

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