Jacqueline Carson

NPI #1285165191 in Forest Park, Illinois

Provider Information

NPI Number: 1285165191
Entity Type: Individual
Name: Jacqueline Carson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Health Educator
Enumeration Date: Mar 22, 2017
Last Updated: Mar 22, 2017

Practice Location

Address: 303 DES PLAINES AVE APT 505
City: Forest Park
State: Illinois
ZIP Code: 60130-1442
Phone: (708) 434-0456

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Health Educator	174H00000X	Primary

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