Individual
RENEE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3539 E CAPITOL ST SE APT 201, WASHINGTON, DC 20019-1212
(202) 491-7528
Mailing address
3539 E CAPITOL ST SE APT 201, WASHINGTON, DC 20019-1212
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
01/24/2018
Last updated
01/24/2018
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