Melonie Jackson

NPI #1215479613 in Roseville, Michigan

Provider Information

NPI Number: 1215479613
Entity Type: Individual
Name: Melonie Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Enumeration Date: Nov 16, 2016
Last Updated: Nov 16, 2016

Practice Location

Address: 26640 BELANGER ST
City: Roseville
State: Michigan
ZIP Code: 48066-3185
Phone: (580) 278-2307

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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