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Individual

TAWANA ANN JACKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
903 DECATUR ST NW, WASHINGTON, DC 20011-4529
(202) 971-6495
Mailing address
903 DECATUR ST NW, WASHINGTON, DC 20011-4529

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
DC

Other

Enumeration date
04/21/2021
Last updated
04/21/2021
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