MR. John Thomas Jackson, LMP
NPI #1093867723 in Des Moines, Washington
Provider Information
- NPI Number
- 1093867723
- Entity Type
- Individual
- Name
- MR. John Thomas Jackson, LMP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- LMP
- Enumeration Date
- Jan 16, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 22007 MARINE VIEW DR S
- Address 2
- SUITE 104
- City
- Des Moines
- State
- Washington
- ZIP Code
- 98198-6259
- Phone
- (206) 592-1423
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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