DR. Stacy L Jackson, DC

NPI #1851473466 in Lafayette, California

Provider Information

NPI Number
1851473466
Entity Type
Individual
Name
DR. Stacy L Jackson, DC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Chiropractor
Credential
DC
Enumeration Date
Oct 20, 2006
Last Updated
Mar 12, 2008

Practice Location

Address
3249 MT DIABLO CT
Address 2
SUITE 102
ZIP Code
94549-4084
Phone
(925) 952-4222

Specialties & Taxonomy Codes

Specialty
Chiropractor

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