Kamiah Patrice Jackson
NPI #1033579222 in Virginia Beach, Virginia
Provider Information
- NPI Number
- 1033579222
- Entity Type
- Individual
- Name
- Kamiah Patrice Jackson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Developmental Therapist
- Enumeration Date
- Mar 1, 2016
- Last Updated
- Mar 1, 2016
Practice Location
- Address
- 4445 CORPORATION LN
- Address 2
- STE 264
- City
- Virginia Beach
- State
- Virginia
- ZIP Code
- 23462-3262
- Phone
- (757) 204-2691
Specialties & Taxonomy Codes
| Specialty |
|---|
| Developmental Therapist |
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