Individual
MRS. DEBBIE CHERRIE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
11096 CRANBERRY ST, MARCELLUS, MI 49067-9484
(269) 718-8704
Mailing address
11096 CRANBERRY ST, MARCELLUS, MI 49067-9484
(269) 718-8704
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
890322
MI
Other
Enumeration date
10/25/2023
Last updated
10/25/2023
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