Individual
MISS IDA OLIVIA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC, LMT
Contact information
Practice address
103 N TAYLOR AVE, SUITE B, KIRKWOOD, MO 63122-4360
(314) 623-2302
Mailing address
103 N TAYLOR AVE, SUITE B, KIRKWOOD, MO 63122-4360
(314) 623-2302
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
2013032932
MO
Other
Enumeration date
12/15/2014
Last updated
12/15/2014
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