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Brenda Jackson
NPI 1013650589 · on the registry since 2022 · sole proprietor
Practice
- Address
- 19431 Monterey Ave
Euclid, OH 44119 - Phone
- (216) 256-8939
Registry record
- Primary taxonomy
- 376K00000X
376K00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-04-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio