Individual
MS. SANDRA DENISE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4303 HERRIDGE ST, HOUSTON, TX 77022-3944
(281) 904-4081
Mailing address
4303 HERRIDGE ST, HOUSTON, TX 77022-3944
(281) 904-4081
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
7615987412143
TX
374U00000X
Home Health Aide
Primary
7615987412143
TX
Other
Enumeration date
03/11/2009
Last updated
03/11/2009
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