Individual
TAMEKIA R JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA/MED AIDE
Contact information
Practice address
9105 BEDFORD AVE, OMAHA, NE 68134-4723
(402) 502-8330
(402) 502-8331
Mailing address
3312 N 38TH ST, OMAHA, NE 68111-3142
(402) 753-7333
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
51508
NE
Other
Enumeration date
12/10/2010
Last updated
12/10/2010
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