Individual
BREYON JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2918 MINNESOTA AVE SE, WASHINGTON, DC 20019-1127
(310) 462-2625
Mailing address
2918 MINNESOTA AVE SE, WASHINGTON, DC 20019-1127
(310) 462-2625
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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