Venice L. Jackson

NPI 1053668731 - Home Health Aide - 374U00000X

NPI Details
NPI 1053668731
Gender Female
Enumeration Date 08/13/2012
Last Updated 08/13/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
7600 GEORGIA AVE NW
SUITE 323
WASHINGTON DC, 20012-1616, US
Phone (202) 723-3060
Fax (202) 723-3065
Business Location
7600 GEORGIA AVE NW
SUITE 323
WASHINGTON DC, 20012-1616, US
Phone (202) 723-3060
Fax (202) 723-3065
Toxanomy
Taxonomy Code 374U00000X
License State
License Number
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According to our database, Venice L. Jackson NPI is 1053668731, taxonomy code is 374U00000X Venice L. Jackson physically located at 7600 Georgia Ave Nw, Washington DC, 20012-1616. NPI Number Venice L. Jackson has the Individual type.

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1053668731 NPI number is provided on an as is basis without warranty of any kind. 1053668731 is maintained by the National Plan & Provider Enumeration System. The contents of Venice L. Jackson are for informational purposes only.