Individual
MICHAELA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1460 W SAMARIA RD, TEMPERANCE, MI 48182-2501
(734) 693-0905
Mailing address
1460 W SAMARIA RD, TEMPERANCE, MI 48182-2501
(734) 693-0905
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/30/2026
Last updated
04/30/2026
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