MISS Dorothy Mae Jackson

NPI #1487950846 in Gainesville, Florida

Provider Information

NPI Number: 1487950846
Entity Type: Individual
Name: MISS Dorothy Mae Jackson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Health Worker
Enumeration Date: Feb 2, 2011
Last Updated: Feb 2, 2011

Practice Location

Address: 310 SW 99TH ST
City: Gainesville
State: Florida
ZIP Code: 32607-1372
Phone: (352) 332-1155

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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