Individual
CAROL ANN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATTENDANT
Contact information
Practice address
1310 JACKSON AVE, FRIONA, TX 79035-1322
(806) 346-4915
Mailing address
1310 JACKSON AVE, FRIONA, TX 79035-1322
(806) 346-4915
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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