Individual
DR. AMY JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
826 CAMINO DE MONTE REY, A3, SANTA FE, NM 87505-3977
(500) 598-8963
(505) 988-9723
Mailing address
826 CAMINO DE MONTE REY, A3, SANTA FE, NM 87505-3977
(500) 598-8963
(505) 988-9723
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2112
NM
Other
Enumeration date
10/19/2015
Last updated
10/19/2015
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