Individual
DR. JARED KENTON JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1593 GALBRAITH AVE SE STE 205, GRAND RAPIDS, MI 49546-9032
(616) 949-1888
Mailing address
7385 30TH ST SE, ADA, MI 49301-8570
(231) 640-4010
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301401582
MI
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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