Individual
DEBORRA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2330 Q ST SE, WASHINGTON, DC 20020-5342
(202) 439-9558
Mailing address
2330 Q ST SE, WASHINGTON, DC 20020-5342
(202) 386-0910
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/03/2022
Last updated
05/03/2022
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