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Tabitha Jackson
NPI 1720865066 · on the registry since 2023 · sole proprietor
Practice
- Address
- 10605 Mccracken Blvd
Garfield Hts, OH 44125 - Phone
- (216) 307-0976
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-09-11
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