Individual
MISS CRISTINA ANN JACKSON
Active
Individual
MISS CRISTINA ANN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
334604-00
—
225700000X
Massage Therapist
LA2767
LA
225700000X
Massage Therapist
Primary
MA49020
FL
Other
Enumeration date
12/28/2007
Last updated
01/26/2008
Update your record
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