Individual
SHANNON DANEIGH JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4660 MARTIN LUTHER KING JR AVE SW APT B406, WASHINGTON, DC 20032-4978
(202) 867-9354
Mailing address
4660 MARTIN LUTHER KING JR AVE SW APT B406, WASHINGTON, DC 20032-4978
(202) 867-9354
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/31/2017
Last updated
07/21/2022
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