Individual
MISS MYRNA DESIREE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 7TH ST NW APT 222, WASHINGTON, DC 20001-3515
(202) 253-2717
Mailing address
6315 SUITLAND RD, SUITLAND, MD 20746-3400
(240) 305-7772
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/09/2021
Last updated
03/09/2021
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