Individual
DIAMOND MARSHELL-DESAREE' JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14210 ARBOR ST STE A, OMAHA, NE 68144-2382
(531) 999-1133
Mailing address
6317 N 24TH ST, OMAHA, NE 68110-1023
(402) 739-1087
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/07/2025
Last updated
02/07/2025
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