MS. Stephanie K Jackson, LMP
NPI #1134461361 in Wenatchee, Washington
Provider Information
- NPI Number
- 1134461361
- Entity Type
- Individual
- Name
- MS. Stephanie K Jackson, LMP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- LMP
- Enumeration Date
- Mar 26, 2013
- Last Updated
- Mar 26, 2013
Practice Location
- Address
- 1513 SLEEPY HOLLOW RD UNIT A
- City
- Wenatchee
- State
- Washington
- ZIP Code
- 98801-9132
- Phone
- (253) 370-7445
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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