SHANTANYA JACKSON

TOLEDO, OH
NPI1972302412
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
Additional Taxonomies374U00000X Home Health Aide
Enumeration Date2025-03-10
Last Update Date2025-03-10
Business Address
SHANTANYA JACKSON
4554 WESTWAY ST
TOLEDO, OH 43612-2251
Phone number: 567-278-2002
Mailing Address
SHANTANYA JACKSON
4554 WESTWAY ST
TOLEDO, OH 43612-2251
Phone number: 567-278-2002
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