Individual
TANYA MONIQUE PITTS-JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MEDICAL ASSISTANT
Contact information
Practice address
5700 KIRKWOOD HWY, SUITE 203, WILMINGTON, DE 19808-4857
(302) 998-0469
(302) 998-0298
Mailing address
213 W 9TH ST, CHESTER, PA 19013-4224
(610) 490-0476
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/19/2007
Last updated
08/19/2007
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