Individual
MONEE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
610 OLD YORK ROAD, SUITE 400, JENKINTOWN, PA 19046-1904
(877) 504-3626
(610) 675-2604
Mailing address
412 ANDORRA GLEN CT, LAFAYETTE HILL, PA 19444-2524
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
PA
Other
Enumeration date
01/10/2019
Last updated
01/10/2019
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