OSTASSIA JACKSON

MEQUON, WI
NPI1083342315
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy251E00000X Home Health
Additional Taxonomies174N00000X Lactation Consultant, Non-RN
177F00000X Lodging
376J00000X Homemaker
376K00000X Nurse's Aide
385H00000X Respite Care
Enumeration Date2022-08-14
Last Update Date2022-08-14
Business Address
OSTASSIA JACKSON
11431 N PORT WASHINGTON RD STE 206
MEQUON, WI 53092-3462
Phone number: 414-319-9195
Mailing Address
OSTASSIA JACKSON
11431 N PORT WASHINGTON RD STE 206
MEQUON, WI 53092-3462
Phone number: 414-319-9195