Individual
JAQUOYA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
934 E RUTH AVE, FLINT, MI 48505-2288
(810) 423-8808
Mailing address
934 E RUTH AVE, FLINT, MI 48505-2288
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/19/2020
Last updated
03/19/2020
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