Individual
WADEEHA MAHASIN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.B.A
Contact information
Practice address
55 MADISON AVE STE 4, MORRISTOWN, NJ 07960-7337
(973) 285-3184
Mailing address
55 MADISON AVE STE 4, MORRISTOWN, NJ 07960-7337
(973) 285-3184
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HP0275400
NJ
Other
Enumeration date
05/01/2018
Last updated
05/01/2018
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