Individual
MICHELLE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14000 CASTLE BLVD APT 703, SILVER SPRING, MD 20904-4640
(202) 904-7779
Mailing address
14000 CASTLE BLVD APT 703, SILVER SPRING, MD 20904-4640
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/14/2019
Last updated
05/14/2019
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