Individual
DR. CYNTHIA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
593 EDDY ST, DEPARTMENT OF PATHOLOGY APC 12, PROVIDENCE, RI 02903-4923
(401) 444-4370
(401) 444-8514
Mailing address
593 EDDY ST, DEPARTMENT OF PATHOLOGY APC 12, PROVIDENCE, RI 02903-4923
(401) 444-4370
(401) 444-8514
Taxonomy
Speciality
Code
Description
License number
State
246Q00000X
Pathology Specialist/Technologist
Primary
LS842
RI
Other
Enumeration date
07/17/2006
Last updated
07/08/2007
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