Individual
ASHA A JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2330 Q ST SE, WASHINGTON, DC 20020-5342
(202) 904-4472
Mailing address
2330 Q ST SE, WASHINGTON, DC 20020-5342
(202) 904-4472
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/23/2022
Last updated
11/23/2022
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