April Jackson

NPI #1871947283 in Melvindale, Michigan

Provider Information

NPI Number: 1871947283
Entity Type: Individual
Name: April Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Apr 21, 2016
Last Updated: Apr 21, 2016

Practice Location

Address: 18932 ALLEN RD
Address 2: 36
City: Melvindale
State: Michigan
ZIP Code: 48122-1576
Phone: (313) 522-9177

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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