Individual
MS. STEPHANIE K JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1513 SLEEPY HOLLOW RD UNIT A, WENATCHEE, WA 98801-9132
(253) 370-7445
Mailing address
607 S MISSION ST, WENATCHEE, WA 98801-3049
(253) 370-7445
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/26/2013
Last updated
03/26/2013
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