Tanya Rachell Jackson

NPI #1558077966 in London, Ohio

Provider Information

NPI Number: 1558077966
Entity Type: Individual
Name: Tanya Rachell Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Homemaker
Enumeration Date: Jan 30, 2023
Last Updated: Jan 30, 2023

Practice Location

Address: 203 N MADISON RD APT F
City: London
State: Ohio
ZIP Code: 43140-2012
Phone: (740) 506-1005

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary

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