Individual
LATRICIA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
154 EXENIA STREET SE, APT 203, WASHINGTON, DC 20032
(202) 255-9908
Mailing address
154 EXENIA STREET SE, APT 203, WASHINGTON, DC 20032
(202) 255-9908
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA12598
DC
Other
Enumeration date
02/01/2017
Last updated
02/01/2017
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