DENISE JACKSON

CHARLESTON, WV
NPI1932809217
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
(Licence: WV  E648516)
Additional Taxonomies172V00000X Community Health Worker
Enumeration Date2023-03-06
Last Update Date2024-07-18
Business Address
DENISE JACKSON
200 ASSOCIATION DR STE 130
CHARLESTON, WV 25311-1277
Phone number: 304-988-4200
Mailing Address
DENISE JACKSON
200 ASSOCIATION DR STE 130
CHARLESTON, WV 25311-1277
Phone number: 304-988-4200