LUEWANA JACKSON

Contractor

NPI: 1174863922Individual

Specialties, Licenses & Credentials

ContractorPrimary

Contractor

Code: 171W00000X

Contact & Hours

Address: 4466 KIMMEL RD
COLUMBUS, OH 43224
Phone: (614) 262-3559

Quick Facts

NPI: 1174863922
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 1
Locations: 1

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