Alicia Jackson

NPI 1790030617 - Home Health Aide - 374U00000X

NPI Details
NPI 1790030617
Gender Female
Enumeration Date 07/17/2012
Last Updated 07/17/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
7506 GEORGIA AVE NW
WASHINGTON DC, 20012-1608, US
Phone (202) 291-6973
Fax
Business Location
4607 DALLAS PL
APT #204
TEMPLE HILLS MD, 20748-3321, US
Phone (240) 640-8513
Fax
Toxanomy
Taxonomy Code 374U00000X
License State
License Number
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According to our database, Ms. Alicia Jackson NPI is 1790030617, taxonomy code is 374U00000X Alicia Jackson physically located at 7506 Georgia Ave Nw, Washington DC, 20012-1608. NPI Number Alicia Jackson has the Individual type.

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1790030617 NPI number is provided on an as is basis without warranty of any kind. 1790030617 is maintained by the National Plan & Provider Enumeration System. The contents of Alicia Jackson are for informational purposes only.