SearchOhio101YA0400X

Valante Jackson

NPI 1326591231 · on the registry since 2016 · sole proprietor

Practice

Address
2638 Victory Pkwy
Cincinnati, OH 45206
Phone
(513) 221-4500

Additional practice sites

  • 11134 Luschek Dr, Blue Ash, OH

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-07-21

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