Tenita Jackson

NPI #1235407040 in Monroe, Louisiana

Provider Information

NPI Number
1235407040
Entity Type
Individual
Name
Tenita Jackson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Technician, Pathology - Phlebotomy
Enumeration Date
Dec 7, 2011
Last Updated
Oct 17, 2012

Practice Location

Address
100 JERALD DR
City
Monroe
ZIP Code
71203-6708
Phone
(318) 737-7079

Specialties & Taxonomy Codes

Specialty
Technician, Pathology - PhlebotomyPhlebotomy

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