RAVEN JACKSON

Personal Care Attendant

NPI: 1972496347Individual

Specialties, Licenses & Credentials

Driver

Code: 172A00000X

J250-732-83-834-0(FL)

Personal Care AttendantPrimary

Technician — Personal Care Attendant

Code: 3747P1801X

CNA-18322(FL)

Contact & Hours

Address: 1818 SW LESLIE GLN
LAKE CITY, FL 32025
Phone: (386) 406-7236

Quick Facts

NPI: 1972496347
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 2
Locations: 1

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