Individual
MISS JUDITH LYNN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2820 N CHERRY ST APT C105, SPOKANE VALLEY, WA 99216-5009
(509) 413-2792
Mailing address
2820 N CHERRY ST APT C105, SPOKANE VALLEY, WA 99216-5009
(509) 413-2792
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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