Christiana Marie Jackson, AT

NPI #1396392684 in Corning, Ohio

Provider Information

NPI Number
1396392684
Entity Type
Individual
Name
Christiana Marie Jackson, AT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
AT
Enumeration Date
Aug 21, 2019
Last Updated
Aug 21, 2019

Practice Location

Address
10397 STATE ROUTE 155 SE
State
Ohio
ZIP Code
43730-9710
Phone
(740) 394-2426

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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