Individual
NIESHA YOLANDA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
817 IRVINGTON ST APT 201, OXON HILL, MD 20745-2837
(240) 346-2926
Mailing address
817 IRVINGTON ST APT 201817, OXON HILL, MD 20745-2837
(240) 346-2926
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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