Individual
CANDITH JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
17022 130TH AVE APT 5A, JAMAICA, NY 11434-3236
(718) 704-8345
(800) 303-0172
Mailing address
17022 130TH AVE APT 5A, JAMAICA, NY 11434-3236
(718) 704-8345
(800) 303-0172
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NY000490761E
NY
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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