DEMAYIA JACKSON
Individual Provider (NPI-1)
Active
Home Health Aide
Provider Information
- NPI Number
1013869353- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 9124 MABLE DR, BATON ROUGE, LA, 708112351
- Phone
- (225) 472-1723
Specialties & Taxonomies
Home Health Aide
Primary License: LA