DANHAI L JACKSON

ROXBURY, MA
NPI1770854671
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence: MA  s38878241)
Enumeration Date2012-01-24
Last Update Date2012-01-24
Business Address
Mr. DANHAI L JACKSON
520 DUDLEY ST
ROXBURY, MA 02119-2769
Phone number: 617-543-6653
Mailing Address
Mr. DANHAI L JACKSON
237 LANTERN RD APT 49
REVERE, MA 02151-1264
Phone number: 617-412-1683
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