CARL'AVERIS JACKSON

DAYTON, OH
NPI1104419092
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Additional Taxonomies374U00000X Home Health Aide
Enumeration Date2021-02-11
Last Update Date2021-02-11
Business Address
CARL'AVERIS JACKSON
1646 WESLEYAN RD # B
DAYTON, OH 45406-3606
Phone number: 937-985-2275
Mailing Address
CARL'AVERIS JACKSON
1646 WESLEYAN RD # B
DAYTON, OH 45406-3606
Phone number: 937-985-2275
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