MS. LIYAH JACKSON

Technician - Personal Care Attendant

Active Individual
NPI: 1659991305

Practice Address

1607 W 12TH ST
Davenport, IA 52804

Phone: (331) 662-8951

Specialties

Specialty Code Primary License
Technician - Personal Care Attendant 3747P1801X Yes -

Frequently Asked Questions

NPI 1659991305 is the National Provider Identifier for MS. LIYAH JACKSON, a Technician - Personal Care Attendant provider located in Davenport, IA. This NPI was enumerated on April 23, 2020.
MS. LIYAH JACKSON practices at 1607 W 12TH ST, Davenport, IA 52804.

Quick Facts

NPI
1659991305
Type
Individual
Enumerated
Apr 23, 2020
Last Updated
Apr 23, 2020

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