MS. Susan Elaine Jackson, RPA-C

NPI #1649557208 in Lyons, New York

Provider Information

NPI Number
1649557208
Entity Type
Individual
Name
MS. Susan Elaine Jackson, RPA-C
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant - Medical
Credential
RPA-C
Enumeration Date
Nov 10, 2011
Last Updated
Nov 10, 2011

Practice Location

Address
12 LEACH RD
City
Lyons
ZIP Code
14489-9732
Phone
(315) 946-6075

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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