Tia Mariana Jackson
NPI #1962147322 in Grand Island, New York
Provider Information
- NPI Number
- 1962147322
- Entity Type
- Individual
- Name
- Tia Mariana Jackson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Doula
- Enumeration Date
- Apr 30, 2022
- Last Updated
- Feb 17, 2023
Practice Location
- Address
- 2264 CENTER CT N APT 3
- City
- Grand Island
- State
- New York
- ZIP Code
- 14072-1745
- Phone
- (716) 495-6980
Specialties & Taxonomy Codes
| Specialty |
|---|
| Doula |
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