Corey N Jackson

NPI #1972873321 in La Vergne, Tennessee

Provider Information

NPI Number
1972873321
Entity Type
Individual
Name
Corey N Jackson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Contractor - Home Modifications
Enumeration Date
Jan 3, 2012
Last Updated
Jan 3, 2012

Practice Location

Address
130 MANKIN PL
ZIP Code
37086-3048
Phone
(931) 722-1443

Specialties & Taxonomy Codes

Specialty
Contractor - Home ModificationsHome Modifications

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