Brenda Ann Jackson

NPI #1326273707 in Sisseton, South Dakota

Provider Information

NPI Number: 1326273707
Entity Type: Individual
Name: Brenda Ann Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Radiologic Technologist
Enumeration Date: May 28, 2009
Last Updated: May 28, 2009

Practice Location

Address: 100 LAKE TRAVERSE DR
City: Sisseton
State: South Dakota
ZIP Code: 57262-7046
Phone: (605) 698-7606

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Radiologic Technologist	247100000X	Primary

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