Denise Jackson
Technician, Personal Care Attendant in Washington, DC. Individual provider (NPI-1).
NPI number1669930616
StatusActive
Last updated in NPPESMar 8, 2019
Details
- NPI
- 1669930616
- Entity type
- Individual (NPI-1)
- Name
- Denise Jackson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 8, 2019
- Last updated
- Mar 8, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
3110 Esther Pl SeWashington, DC 20032-1505
Phone 202-594-5141
Mailing address
3533 18th St SeWashington, DC 20020-2211
Phone 202-760-9373 · Fax 202-563-5703
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