Calvin Jackson
NPI #1053701003 in Monroe, Washington
Provider Information
- NPI Number
- 1053701003
- Entity Type
- Individual
- Name
- Calvin Jackson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Enumeration Date
- Jan 29, 2015
- Last Updated
- Jan 29, 2015
Practice Location
- Address
- 101 E MAIN ST
- Address 2
- STE 201
- City
- Monroe
- State
- Washington
- ZIP Code
- 98272-1519
- Phone
- (360) 863-0642
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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