Individual
VICTORIA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
1126 OAKLAND AVE, KANSAS CITY, KS 66102-2960
(816) 791-3174
Mailing address
1126 OAKLAND AVE, KANSAS CITY, KS 66102-2960
(816) 791-3174
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
89290A
MO
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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