Individual
MS. KEISHA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3718 HAYES ST. N.E. APT# 201, WASHINGTON, DC 20019
(202) 399-5425
Mailing address
3578-A HAYES ST. N.E. APT# 302, WASHINGTON, DC 20019
(202) 878-4051
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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