Individual
NADINE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2545 36TH ST SE, WASHINGTON, DC 20020-1215
(301) 541-6949
Mailing address
2545 36TH ST SE, WASHINGTON, DC 20020-1215
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
12/07/2018
Last updated
12/07/2018
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