DOMINION ALECIA JACKSON

CHARLESTON, WV
NPI1568052405
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician Personal Care Attendant
Enumeration Date2021-01-25
Last Update Date2021-01-25
Business Address
DOMINION ALECIA JACKSON
1599 2ND AVE
CHARLESTON, WV 25387-2514
Phone number: 304-344-0586
Mailing Address
DOMINION ALECIA JACKSON
PO BOX 20112
CHARLESTON, WV 25362-1112
Phone number:
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