Individual
CHARAE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6057 E SUNRISE CIR, FLORENCE, AZ 85132-7998
(623) 274-4036
Mailing address
6057 E SUNRISE CIR, FLORENCE, AZ 85132-7998
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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