Tracey Francine Jackson
NPI #1134571730 in Eastpointe, Michigan
Provider Information
- NPI Number
- 1134571730
- Entity Type
- Individual
- Name
- Tracey Francine Jackson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician, Other
- Enumeration Date
- Jul 7, 2016
- Last Updated
- Jul 7, 2016
Practice Location
- Address
- 22764 NORMANDY AVE
- City
- Eastpointe
- State
- Michigan
- ZIP Code
- 48021-1854
- Phone
- (313) 782-6777
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician, Other |
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