Natasha Jackson

NPI #1598113680 in Eastpointe, Michigan

Provider Information

NPI Number: 1598113680
Entity Type: Individual
Name: Natasha Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: May 30, 2016
Last Updated: May 30, 2016

Practice Location

Address: 16175 COLLINSON AVE
City: Eastpointe
State: Michigan
ZIP Code: 48021-3653
Phone: (313) 296-5458

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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