Individual
MRS. RISHONA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. ED
Contact information
Practice address
19 W 21ST ST RM 701, NEW YORK, NY 10010-6855
(646) 230-8190
(646) 230-8185
Mailing address
5201 BEVERLEY RD, BROOKLYN, NY 11203-5324
(347) 902-1389
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
32139
NY
Other
Enumeration date
12/04/2014
Last updated
12/04/2014
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