BERTHA E JACKSON

DAYTON, OH
NPI1750017950
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2022-07-29
Last Update Date2022-07-29
Business Address
BERTHA E JACKSON
108 WINDING RIDGE DR
DAYTON, OH 45415-2819
Phone number: 937-977-4153
Mailing Address
BERTHA E JACKSON
108 WINDING RIDGE DR
DAYTON, OH 45415-2819
Phone number: 937-977-4153
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