LAEIA B JACKSON

TOLEDO, OH
NPI1003348673
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2085R0205X Radiology Radiological Physics
(Licence: MI  4301507021)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2017-04-01
Last Update Date2023-08-08
Business Address
LAEIA B JACKSON MD
5757 PARK CENTER CT.
TOLEDO, OH 43615
Phone number: 419-474-4064
Mailing Address
LAEIA B JACKSON MD
5757 PARK CENTER CT.
TOLEDO, OH 43615
Phone number: 419-474-4064