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Priscilla Jackson, AIDE
NPI 1437485695 · on the registry since 2009 · sole proprietor
Practice
- Address
- 1718 S Heights Ave
Youngstown, OH 44502 - Phone
- (330) 788-3152
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
- 2009-10-22
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