Wanda Jackson
Wanda Jackson is a Home Health Aide in Washington, District of Columbia. Practices as a sole proprietor. Licensed in District of Columbia.
- Licensed in
- DC
- In the registry since
- 2016
Practice location Address checks out
Washington, DCNo coordinates on file. Search this address in Google Maps
Specialties & licences
| Home Health Aide (primary) | Taxonomy 374U00000X · Licence HHA11761 (DC) |
|---|
Record details
| NPI number | 1538525175 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 12, 2016 |
| Last updated in NPPES | January 12, 2016 |
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