Individual
DARLENE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1322 HALF ST SW, WASHINGTON, DC 20024-4100
(202) 725-7524
Mailing address
3228 ASPEN TREE CT, LAUREL, MD 20724-6102
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
05/28/2021
Last updated
05/28/2021
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