Individual
CHERRISH M JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1330 TREASURE KEY CT, TAMPA, FL 33612-8819
(706) 403-7534
Mailing address
1330 TREASURE KEY CT, TAMPA, FL 33612-8819
(706) 403-7534
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
308420
FL
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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