Individual
MRS. TINA MARIE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
671 ANTOINETTE ST, DELTONA, FL 32725-2620
(386) 848-6596
Mailing address
42215 DOGWOOD AVE, DELAND, FL 32720-7124
(386) 873-8523
(386) 789-8005
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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