Individual
RAKERA SHUNAY JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2846 MEADOW VIEW BLVD, NORTH PRINCE GEORGE, VA 23860-8057
(804) 661-1829
Mailing address
2846 MEADOW VIEW BLVD, NORTH PRINCE GEORGE, VA 23860-8057
(804) 536-0035
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/27/2024
Last updated
02/25/2025
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