Maria Cecilia Jackson
Community Health Worker in Bremerton, WA. Individual provider (NPI-1).
NPI number1669931366
StatusActive
Last updated in NPPESMay 5, 2022
Details
- NPI
- 1669931366
- Entity type
- Individual (NPI-1)
- Name
- Maria Cecilia Jackson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 13, 2019
- Certification date
- May 5, 2022
- Last updated
- May 5, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
5455 Almira Dr NeBremerton, WA 98311-8330
Phone 360-415-5870
Mailing address
5455 Almira Dr NeBremerton, WA 98311-8330
Phone 360-415-5870
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