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Individual

MS. TEMEKA LASHON JACKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPSGT, RST

Contact information

Practice address
213 WILKES CIR, HARTSVILLE, SC 29550-6369
(843) 992-3170
Mailing address
213 WILKES CIR, HARTSVILLE, SC 29550-6369
(843) 992-3170

Taxonomy

Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary

Other

Enumeration date
02/02/2022
Last updated
02/02/2022
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