Individual
DION T JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13402 S 34TH ST, BELLEVUE, NE 68123-2331
(402) 210-9883
Mailing address
13402 S 34TH ST, BELLEVUE, NE 68123-2331
(402) 210-9883
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
02/25/2025
Last updated
02/25/2025
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