Individual
MARSHALL JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1921 KALORAMA RD NW APT 209, WASHINGTON, DC 20009-1470
(202) 650-8054
Mailing address
1921 KALORAMA RD NW APT 209, WASHINGTON, DC 20009-1470
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/28/2023
Last updated
03/18/2023
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