Individual
ALEAH J JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
230 LINDSAY RD, RAEFORD, NC 28376-6725
(910) 514-6251
Mailing address
2021 MANGO CIR, FAYETTEVILLE, NC 28304-2022
(910) 853-2299
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16888
NC
Other
Enumeration date
09/14/2023
Last updated
09/14/2023
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