Individual
AUNDRELIA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1329 DWIGHT ST, SAGINAW, MI 48601-1159
(989) 482-5228
Mailing address
1329 DWIGHT ST, SAGINAW, MI 48601-1159
(989) 482-5228
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
05/20/2016
Last updated
05/20/2016
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