Individual
BRENDA ANN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15600 NW 7TH AVE APT 401, MIAMI, FL 33169-6226
(786) 306-0770
Mailing address
15600 NW 7TH AVE APT 401, MIAMI, FL 33169-6226
(786) 306-0770
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/12/2023
Last updated
04/12/2023
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