Kenneth Jackson

NPI #1407409063 in Reno, Nevada

Provider Information

NPI Number
1407409063
Entity Type
Individual
Name
Kenneth Jackson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Technician - Personal Care Attendant
Enumeration Date
Jul 22, 2019
Last Updated
Jul 22, 2019

Practice Location

Address
1005 TERMINAL WAY STE 125
City
Reno
State
Nevada
ZIP Code
89502-2198
Phone
(877) 786-4999

Specialties & Taxonomy Codes

Specialty
Technician - Personal Care AttendantPersonal Care Attendant

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