Kathleen Jackson

NPI #1427699685 in Vernon, Florida

Provider Information

NPI Number
1427699685
Entity Type
Individual
Name
Kathleen Jackson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Technician - Attendant Care Provider
Enumeration Date
Sep 30, 2019
Last Updated
Sep 30, 2019

Practice Location

Address
3788 JACKSON COMMUNITY RD
City
Vernon
State
Florida
ZIP Code
32462-3440
Phone
(850) 527-7197

Specialties & Taxonomy Codes

Specialty
Technician - Attendant Care ProviderAttendant Care Provider

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