Individual
FELICIA CONSUELLA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3348 BLAINE ST NE, WASHINGTON, DC 20019-1327
(202) 399-2966
Mailing address
1915 GALES ST NE, WASHINGTON, DC 20002-4733
(202) 749-0667
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
02/28/2022
Last updated
02/28/2022
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