Caipriest Jackson

NPI #1215684808 in Colorado Springs, Colorado

Provider Information

NPI Number: 1215684808
Entity Type: Individual
Name: Caipriest Jackson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Enumeration Date: Mar 3, 2022
Last Updated: Mar 3, 2022

Practice Location

Address: 4850 NIGHTINGALE DR APT B301
City: Colorado Springs
State: Colorado
ZIP Code: 80918-8552
Phone: (504) 352-7161

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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