Individual
GREGORY ARTHUR JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2301 11TH ST NW APT 119, WASHINGTON, DC 20001-2245
(202) 702-0794
Mailing address
1010 HOTCHKISS PL, FREDERICKSBURG, VA 22401-8409
(540) 479-7084
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
01/28/2025
Last updated
04/04/2025
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