ANTWUAN MENDEZ JACKSON

COLUMBUS, OH
NPI1861113482
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2022-09-12
Last Update Date2022-09-12
Business Address
ANTWUAN MENDEZ JACKSON
16 W LONG ST
COLUMBUS, OH 43215-2815
Phone number: 614-225-0990
Mailing Address
ANTWUAN MENDEZ JACKSON
16 W LONG ST
COLUMBUS, OH 43215-2815
Phone number: 614-225-0990
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