Individual
LARRI GEYNEECE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
28 SCHENCK PKWY STE 20, ASHEVILLE, NC 28803-5053
(855) 832-6727
Mailing address
4575 SE DIXIE HWY, STUART, FL 34997-6826
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
RBT-23-306872
NC
Other
Enumeration date
06/12/2025
Last updated
06/12/2025
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