Austin Jackson
NPI #1942809868 in Genoa, West Virginia
Provider Information
- NPI Number
- 1942809868
- Entity Type
- Individual
- Name
- Austin Jackson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- Oct 21, 2020
- Last Updated
- Oct 21, 2020
Practice Location
- Address
- 18609 RT. 52
- City
- Genoa
- State
- West Virginia
- ZIP Code
- 22517
- Phone
- (304) 272-2226
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Personal Care Attendant — Personal Care Attendant |
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