Individual
MRS. ELIZABETH KAGANDA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
705 JEFFERSON ST, JEFFERSON CTY, MO 65101-2941
(573) 291-5303
Mailing address
705 JEFFERSON ST, JEFFERSON CTY, MO 65101-2941
(573) 291-5303
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
MO
Other
Enumeration date
12/28/2022
Last updated
12/28/2022
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