Jackson, Kewuan Deshaun
Jackson, Kewuan Deshaun is an sole proprietor health care provider with primary practice located at 4880 N Sabino Canyon Rd Apt 14160, Tucson AZ 85750-7006. He recently has only one registered license in Respite Care Facility / Respite Care, Mental Illness, Child, which is considered as his primary health care specialty. Jackson, Kewuan Deshaun can be contacted via phone (520) 818-4318.Contact Information
Primary practice address
4880 N Sabino Canyon Rd Apt 14160
Tucson AZ 85750-7006
Phone: (520) 818-4318
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respite Care Facility / Respite Care, Mental Illness, Child | 385HR2055X | 1490923 | Arizona |
Profile Details
| NPI number | 1639300874 |
|---|---|
| LBN Legal business name | Jackson, Kewuan Deshaun |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 5th, 2009 |
| Last updated | Aug 5th, 2009 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Popular Providers
-
Leunen, Michael Robert
16349 N Lago Del Oro Pkwy , Tucson AZ 85739-9629 -
Williams, Christopher
77 N Camino Seco Apt 264 , Tucson AZ 85710-2972 -
Kettlewell, Susan
610 N 2Nd Ave , Tucson AZ 85705-7802 -
Serna, Victor M
9429 E Myra Dr , Tucson AZ 85730-2941 -
Melton, David Wayne
5410 E Ocotillo Hill Rd , Tucson AZ 85706 -
Rivers, Michael J
1170 W Chula Vista Rd , Tucson AZ 85704-3006 -
Stracy, Dawn Rene
4922 E Whispering Sage Rd , Tucson AZ 85706-9057 -
Mazzola, David John
3151 E Holladay St , Tucson AZ 85706-2819