ANQUINEKI JACKSON

Home Health Aide

Active Individual
NPI: 1467817379

Practice Address

12850 CORBIN ST
Detroit, MI 48217

Phone: (313) 333-6379

Specialties

Specialty Code Primary License
Home Health Aide 374U00000X Yes -
Homemaker 376J00000X No -

Frequently Asked Questions

NPI 1467817379 is the National Provider Identifier for ANQUINEKI JACKSON, a Home Health Aide provider located in Detroit, MI. This NPI was enumerated on December 18, 2015.
ANQUINEKI JACKSON practices at 12850 CORBIN ST, Detroit, MI 48217.

Quick Facts

NPI
1467817379
Type
Individual
Enumerated
Dec 18, 2015
Last Updated
Dec 18, 2015

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