Individual
DR. SHAVON LEIGH JACKSON-MICHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.D.
Contact information
Practice address
399 HOOVER AVE, SUITE 8, BLOOMFIELD, NJ 07003-3924
(973) 544-8399
(973) 429-7887
Mailing address
399 HOOVER AVE, SUITE 8, BLOOMFIELD, NJ 07003-3924
(973) 544-8399
(973) 429-7887
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
000448
CT
Other
Enumeration date
12/09/2010
Last updated
12/09/2010
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