Sarita Jackson
Technician, Other in Detroit, MI. Individual provider (NPI-1).
NPI number1043663958
StatusActive
Last updated in NPPESJul 15, 2016
Details
- NPI
- 1043663958
- Entity type
- Individual (NPI-1)
- Name
- Sarita Jackson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 15, 2016
- Last updated
- Jul 15, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | – | Yes |
Practice location
294 E Boston BlvdDetroit, MI 48202-1321
Phone 313-610-4034
Mailing address
294 E Boston BlvdDetroit, MI 48202-1321
Phone 313-610-4034
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