Individual provider · Type 1 NPI

Dontee Lamone Jackson

Attendant Care Provider · San Diego, CA

NPI number 1336804533 Active

Practice location

4460 Delta St Apt 8
San Diego, CA 92113-4166

Mailing address

1959 Ilex Ave Apt 203
San Diego, CA 92154-3950

Specialties and licenses

TaxonomyCodeLicense
Attendant Care Provider Primary 3747A0650XNone listed

Attendant Care Provider: An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.

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About NPI 1336804533

Dontee Lamone Jackson's National Provider Identifier is 1336804533, issued on Nov 2, 2021. The primary taxonomy on file is Attendant Care Provider (3747A0650X), and the practice location is in San Diego, CA. The record was last updated on Nov 2, 2021.