Individual
RUTHETTE MARY JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CROP AND FIRST AIDE
Contact information
Practice address
3002 RODMAN ST NW APT 306, WASHINGTON, DC 20008-3152
(202) 297-4674
Mailing address
1200 IRVING ST NW APT 201, WASHINGTON, DC 20010-2435
(202) 276-0378
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/11/2020
Last updated
02/11/2020
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