Avis Shantrell Jackson
Avis Shantrell Jackson is a Home Health Aide in Miami, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2019
Practice location Address checks out
1700 NW 66th StMiami, FL 33147-7444
Phone: (786) 333-4557
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Home Health Aide (primary) | Taxonomy 374U00000X (FL) |
|---|
Record details
| NPI number | 1861030835 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | December 20, 2019 |
| Last updated in NPPES | December 20, 2019 |
| Certification date | December 20, 2019 |
| Mailing address | 1700 Nw 66th St, Miami, FL 33147-7444 |
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