Individual
TAMIKA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1221 M ST NW APT 604, WASHINGTON, DC 20005-5149
(202) 607-8759
Mailing address
5031 E CAPITOL ST SE, WASHINGTON, DC 20019-5327
(202) 607-8759
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/24/2023
Last updated
02/24/2023
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