Individual
TINISHA DANIELLE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
GENERAL HEALTHCARE RESOURCES INC, 5700 KIRKWOOD HIGHWAY SUITE 203, WILIMINGTON, DE 19808
(302) 998-0469
(302) 998-0298
Mailing address
2705 N PINE ST, WILIMINGTON, DE 19808
(302) 998-0469
(302) 998-0298
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NA000000129079
DE
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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