Individual
TEXERIA SANDERS-JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 WESTMINSTER LN, STAFFORD, VA 22556-4570
(646) 671-0516
Mailing address
1508 POINT BREEZE PL, FAR ROCKAWAY, NY 11691-1628
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
12/14/2017
Last updated
12/14/2017
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