Terence Jackson

NPI #1659133148 in Fremont, Ohio

Provider Information

NPI Number
1659133148
Entity Type
Individual
Name
Terence Jackson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Technician - Attendant Care Provider
Enumeration Date
Jan 29, 2024
Last Updated
Jan 29, 2024

Practice Location

Address
936 QUAIL DR APT A
State
Ohio
ZIP Code
43420-5905
Phone
(313) 703-1032

Specialties & Taxonomy Codes

Specialty
Technician - Attendant Care ProviderAttendant Care Provider

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