Individual
TIFFANY MONIQUE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 45TH ST NE APT 604, WASHINGTON, DC 20019-4790
(301) 237-1512
Mailing address
3509 HAYES ST NE UNIT B, WASHINGTON, DC 20019-7502
(202) 766-4858
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
DC
Other
Enumeration date
11/04/2021
Last updated
11/04/2021
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