Martez Jackson
Home Health Aide in Lansing, MI. Individual provider (NPI-1).
NPI number1972310613
StatusActive
Last updated in NPPESDec 16, 2024
Details
- NPI
- 1972310613
- Entity type
- Individual (NPI-1)
- Name
- Martez Jackson
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 16, 2024
- Certification date
- Dec 16, 2024
- Last updated
- Dec 16, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | MI | Yes |
Practice location
721 W Saginaw StLansing, MI 48915-1960
Phone 313-355-2829
Mailing address
721 W Saginaw StLansing, MI 48915-1960
Phone 313-355-2829
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