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Individual

JERMAIN LAMONT JACKSON JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2110 38TH ST SE, WASHINGTON, DC 20020-1318
(202) 910-6840
Mailing address
3712 CARPENTER ST SE, WASHINGTON, DC 20020-2340
(202) 848-6307

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
DC

Other

Enumeration date
09/03/2024
Last updated
09/03/2024
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