Individual
DARLENE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
97 KNOBS LANE, CEDAR BLUFF, VA 24609-3205
(276) 880-2330
(276) 880-2329
Mailing address
PO BOX 2016, LEBANON, VA 24266-2016
(276) 880-2330
(276) 880-2329
Taxonomy
Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
104
VA
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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