Annie Jackson

NPI #1700338712 in Phoenix, Illinois

Provider Information

NPI Number
1700338712
Entity Type
Individual
Name
Annie Jackson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Home Health Aide
Enumeration Date
Oct 26, 2016
Last Updated
Oct 26, 2016

Practice Location

Address
517 E 153RD ST
ZIP Code
60426-2308
Phone
(708) 513-2866

Specialties & Taxonomy Codes

Specialty
Home Health Aide

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