Individual
DR. MIMI C JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
2319 N 45TH ST. STE 105, SEATTLE, WA 98103
(206) 259-8882
Mailing address
2319 N 45TH ST. STE 105, SEATTLE, WA 98103
(206) 259-8882
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH60044896
WA
Other
Enumeration date
10/22/2008
Last updated
12/17/2010
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