Lori Jackson

NPI #1477051845 in Mineral City, Ohio

Provider Information

NPI Number: 1477051845
Entity Type: Individual
Name: Lori Jackson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Home Health Aide
Enumeration Date: Jan 31, 2018
Last Updated: Jan 31, 2018

Practice Location

Address: 2800 TUSKY VALLEY RD NE
City: Mineral City
State: Ohio
ZIP Code: 44656-9691
Phone: (330) 324-2840

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health Aide	374U00000X	Primary

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