NPI 1124523899
Marcus Dior Jackson
Practice location
- Address
- 1913 Tremont St SE, Washington, DC 20020-7604
- Phone
- (202) 294-9212
Registered specialties
In Home Supportive Care Agency
Primary
Registry record
- NPI
- 1124523899
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 26 Mar 2018
- Record last updated
- 26 Mar 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.