Ladonna Jackson

NPI #1518032945 in Tucson, Arizona

Provider Information

NPI Number: 1518032945
Entity Type: Individual
Name: Ladonna Jackson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Respite Care
Enumeration Date: Nov 21, 2006
Last Updated: Jul 27, 2020

Practice Location

Address: 1866 N MARBLE RIDGE PL
City: Tucson
State: Arizona
ZIP Code: 85715-4574
Phone: (520) 722-9296

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Respite Care	385H00000X	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X

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