Individual
ABOSEDE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5009 PENINSULA WAY APT 2202, GARLAND, TX 75043-4249
(214) 530-7936
Mailing address
5009 PENINSULA WAY APT 2202, GARLAND, TX 75043-4249
(214) 530-7936
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
TX
Other
Enumeration date
08/08/2024
Last updated
08/08/2024
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