Individual
DANIELLE C JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 WISCONSIN AVE NW, SUIT 300, WASHINGTON, DC 20007-3603
(202) 955-8355
Mailing address
6608 DISTRICT HEIGHTS PKWY, APT 7, DISTRICT HEIGHTS, MD 20747-1659
(202) 910-0475
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA5985
DC
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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