WANDA JACKSON

WASHINGTON, DC
NPI1538525175
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy374U00000X Home Health Aide
(Licence: DC  HHA11761)
Enumeration Date2016-01-12
Last Update Date2016-01-12
Business Address
-- WANDA JACKSON
1709 L ST NE
WASHINGTON, DC 20002-3021
Phone number: 301-613-5259
Mailing Address
-- WANDA JACKSON
1709 L ST NE
WASHINGTON, DC 20002-3021
Phone number: 301-613-5259
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