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Kenesha Jackson
NPI 1700431996 · on the registry since 2019 · sole proprietor
Practice
- Address
- 4937 San Joaquin Dr
Toledo, OH 43615 - Phone
- (567) 343-8474
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-08-05
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