Individual
QUINEKA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7900 UNIVERSITY RIDGE DR APT 108, CHARLOTTE, NC 28213-5104
(980) 448-4961
Mailing address
PO BOX 791211, CHARLOTTE, NC 28206-7920
(980) 448-4961
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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