Pamela Jackson

NPI #1629503693 in South Lebanon, Ohio

Provider Information

NPI Number: 1629503693
Entity Type: Individual
Name: Pamela Jackson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Homemaker
Enumeration Date: Apr 26, 2017
Last Updated: Apr 26, 2017

Practice Location

Address: 47 SUNNY LN
Address 2: B
City: South Lebanon
State: Ohio
ZIP Code: 45065-1431
Phone: (513) 301-6266

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary

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