Individual
CINDY JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20441 BEACONSFIELD ST APT 8, HARPER WOODS, MI 48225-1372
(313) 850-0946
Mailing address
20441 BEACONSFIELD ST APT 8, HARPER WOODS, MI 48225-1372
(313) 850-0946
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
238015491094
MI
376K00000X
Nurse's Aide
Primary
238015491094
MI
Other
Enumeration date
02/16/2017
Last updated
02/16/2017
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