Renetia Jackson
NPI #1932758158 in Farmington, Minnesota
Provider Information
- NPI Number
- 1932758158
- Entity Type
- Individual
- Name
- Renetia Jackson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician - Attendant Care Provider
- Enumeration Date
- Sep 10, 2019
- Last Updated
- Sep 10, 2019
Practice Location
- Address
- 1210 SPRUCE STREET
- City
- Farmington
- State
- Minnesota
- ZIP Code
- 55024
- Phone
- (612) 702-8541
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Attendant Care Provider — Attendant Care Provider |
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