Individual
MS. ROBERTA ANN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
294 BAY ST, TAUNTON, MA 02780-1834
(508) 880-3324
Mailing address
294 BAY ST, TAUNTON, MA 02780-1834
(508) 880-3324
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2951
MA
Other
Enumeration date
10/09/2008
Last updated
10/09/2008
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