Individual
ALAIN JEANINE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2261 E DARTMOUTH ST, MESA, AZ 85213-6717
(480) 540-3919
Mailing address
2261 E DARTMOUTH ST, MESA, AZ 85213-6717
(480) 540-3919
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-25487
AZ
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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