MRS. Deanna Lynn Jackson

NPI #1295918175 in Visalia, California

Provider Information

NPI Number
1295918175
Entity Type
Individual
Name
MRS. Deanna Lynn Jackson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Prosthetic/Orthotic Supplier
Enumeration Date
Dec 13, 2007
Last Updated
Dec 13, 2007

Practice Location

Address
1926 S COURT ST
ZIP Code
93277-5426
Phone
(559) 736-3193

Specialties & Taxonomy Codes

Specialty
Prosthetic/Orthotic Supplier

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