DORTHA JACKSON

BARBOURSVILLE, WV
NPI1346099116
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2024-05-15
Last Update Date2024-05-15
Business Address
DORTHA JACKSON
650 MAIN ST
BARBOURSVILLE, WV 25504-1439
Phone number: 304-302-0707
Mailing Address
DORTHA JACKSON
650 MAIN ST
BARBOURSVILLE, WV 25504-1439
Phone number: 304-302-0707