Shakia Jackson

NPI #1235693441 in Radford, Virginia

Provider Information

NPI Number: 1235693441
Entity Type: Individual
Name: Shakia Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jan 22, 2019
Last Updated: Jan 22, 2019

Practice Location

Address: 100 COPPER BEECH DR APT C
City: Radford
State: Virginia
ZIP Code: 24141-3194
Phone: (540) 649-0780

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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