Individual
MS. KAREN KAY JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7256 HWY 57 #322, FORT TOTTEN, ND 58335-5833
(701) 766-4993
Mailing address
PO BOX 592, FORT TOTTEN, ND 58335-0592
(701) 766-4993
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/14/2021
Last updated
05/14/2021
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