Individual
BERDENE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
528 W CHICAGO ST APT 13, COLDWATER, MI 49036-8416
(616) 329-4537
Mailing address
528 W CHICAGO ST APT 13, COLDWATER, MI 49036-8416
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
07/24/2017
Last updated
07/24/2017
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