Individual
DEANDRA B JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2165 E OUTER DR, DETROIT, MI 48234-1705
(313) 799-5787
Mailing address
2165 E OUTER DR, DETROIT, MI 48234-1705
(313) 799-5787
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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