Jackie Lee King
NPI #1003793829 in Falling Waters, West Virginia
Provider Information
- NPI Number
- 1003793829
- Entity Type
- Individual
- Name
- Jackie Lee King
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- Aug 21, 2025
- Last Updated
- Aug 21, 2025
Practice Location
- Address
- 19 ONTARIO DR
- City
- Falling Waters
- State
- West Virginia
- ZIP Code
- 25419-0059
- Phone
- (240) 382-5933
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Personal Care Attendant — Personal Care Attendant |
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