Individual
CHANTEL JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
540 5TH AVE, HUNTINGTON, WV 25701-1908
(304) 697-0022
(304) 697-8556
Mailing address
540 5TH AVE, HUNTINGTON, WV 25701-1908
(304) 697-0022
(304) 697-8556
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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