Individual
MRS. ANDRIA JOI JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
37 W FREDERICK ST, MILLERSVILLE, PA 17551-1909
(443) 858-8064
Mailing address
40 DILWORTH ROAD, MILLERSVILLE, PA 17551
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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