Individual
IZZABELLA HIATT-JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
840 E PLUM ST, MOSES LAKE, WA 98837-1874
(509) 765-9239
Mailing address
1114 W LUTA ST, MOSES LAKE, WA 98837-4040
(360) 464-3048
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/16/2025
Last updated
10/27/2025
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