Mike Jackson

NPI #1861098659 in Solon, Ohio

Provider Information

NPI Number: 1861098659
Entity Type: Individual
Name: Mike Jackson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Driver
Enumeration Date: Dec 8, 2020
Last Updated: Dec 8, 2020

Practice Location

Address: 6700 AYLESHIRE DR
City: Solon
State: Ohio
ZIP Code: 44139-3866
Phone: (440) 759-2512

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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