TYSHANAE JACKSON

TOLEDO, OH
NPI1396402566
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2021-11-23
Last Update Date2021-11-23
Business Address
TYSHANAE JACKSON QMHS CMS
1832 ADAMS ST
TOLEDO, OH 43604-4428
Phone number: 440-260-8300
Mailing Address
TYSHANAE JACKSON QMHS CMS
434 EASTLAND RD
BEREA, OH 44017-1217
Phone number: 440-234-2006
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