Individual
DEBORAH L JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1510 FORT DAVIS PL SE, WASHINGTON, DC 20020-6028
(202) 271-6853
Mailing address
2608 OVERDALE PL, DISTRICT HEIGHTS, MD 20747-3613
(202) 910-5962
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
DC
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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