Individual
JANICE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4336 HALLEY TER SE APT 4, WASHINGTON, DC 20032-5824
(240) 334-1962
Mailing address
4336 HALLEY TER SE APT 4, WASHINGTON, DC 20032-5824
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/10/2017
Last updated
03/10/2017
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