Individual
MRS. MARY ANN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCTMB
Contact information
Practice address
28000 HILLER ST, HARRISON TOWNSHIP, MI 48045-2622
(586) 206-0348
Mailing address
28000 HILLER ST, HARRISON TOWNSHIP, MI 48045-2622
(586) 206-0348
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
02/05/2009
Last updated
02/05/2009
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