Individual
SATYRE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30 E REAMER AVE APT C, WILMINGTON, DE 19804-1371
(302) 268-4512
Mailing address
30 E REAMER AVE APT C, WILMINGTON, DE 19804-1371
(302) 268-4512
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
DE0000011171
DE
Other
Enumeration date
05/02/2018
Last updated
05/02/2018
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