Individual
TEQUILA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2444 HERMANSAU ST, SAGINAW, MI 48602-5824
(989) 482-7967
Mailing address
2444 HERMANSAU ST, SAGINAW, MI 48602-5824
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703122547
MI
Other
Enumeration date
05/05/2022
Last updated
05/05/2022
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