Individual
TIARA DONIECE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 L ST SE APT 1001, WASHINGTON, DC 20003-5406
(202) 924-9422
Mailing address
601 L ST SE APT 1001, WASHINGTON, DC 20003-5406
(202) 924-9422
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
07/07/2017
Last updated
05/23/2025
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