Individual
GAJARAH JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 COOPER ST, CAMDEN, NJ 08102-1155
(856) 342-3040
Mailing address
800 COOPER ST STE 400, CAMDEN, NJ 08102-1100
(856) 342-3040
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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