DETARRA JACKSON

BARBOURSVILLE, WV
NPI1467130492
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2023-07-10
Last Update Date2023-07-10
Business Address
DETARRA JACKSON
652 MAIN ST
BARBOURSVILLE, WV 25504-1439
Phone number: 304-302-0707
Mailing Address
DETARRA JACKSON
652 MAIN ST
BARBOURSVILLE, WV 25504-1439
Phone number:
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