Individual
CIGNE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AT, ATC
Contact information
Practice address
501 MARSHALL ST, LANSING, MI 48912-2306
(907) 750-4002
Mailing address
2315 E JOLLY RD APT 6, LANSING, MI 48910-8298
(907) 750-4002
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601002387
MI
Other
Enumeration date
12/09/2021
Last updated
12/09/2021
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