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Individual

CANDES RENEE JACKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNA, CMA

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
171W00000X
Contractor
174200000X
Meals Provider
251E00000X
Home Health Agency
332U00000X
Home Delivered Meals
372500000X
Chore Provider
372600000X
Adult Companion
374U00000X
Home Health Aide
376K00000X
Nurse's Aide
Primary
NA0008761095
TX
385H00000X
Respite Care

Other

Enumeration date
06/05/2023
Last updated
06/05/2023
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