Organization
MARILYN JACKSON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYN JACKSON L.AC. (OWNER, ACUPUNCTURIST)
(203) 212-9284
Entity
Organization
Contact information
Practice address
10 SOUTH ST STE 205, RIDGEFIELD, CT 06877-4125
(203) 212-9284
Mailing address
10 SOUTH ST STE 205, RIDGEFIELD, CT 06877-4125
(203) 212-9284
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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