Individual
MR. DISSO JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2000 CLIFFMINE RD STE 300, PITTSBURGH, PA 15275-1008
(412) 926-2173
Mailing address
3202 MCKNIGHT EAST DR, PITTSBURGH, PA 15237-6423
(412) 926-2173
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/24/2025
Last updated
06/24/2025
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