SearchOhio172V00000X

Parita Jackson

NPI 1205558566 · on the registry since 2022 · sole proprietor

Practice

Address
921 Cleverly Rd
Dayton, OH 45417
Phone
(513) 570-9200

Registry record

Primary taxonomy
172V00000X
172V00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-09-14

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