DR. Ayumi Jackson

NPI #1992410823 in Suffolk, Virginia

Provider Information

NPI Number: 1992410823
Entity Type: Individual
Name: DR. Ayumi Jackson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Jan 16, 2023
Last Updated: Jan 16, 2023

Practice Location

Address: 208 CHENANGO CRES
City: Suffolk
State: Virginia
ZIP Code: 23434-9257
Phone: (757) 705-8560

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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