Individual
CAIPRIEST JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4850 NIGHTINGALE DR APT B301, COLORADO SPRINGS, CO 80918-8552
(504) 352-7161
Mailing address
4850 NIGHTINGALE DR APT B301, COLORADO SPRINGS, CO 80918-8552
(504) 352-7161
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
03/03/2022
Last updated
03/03/2022
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