Individual
DR. SHAUN CHARLES JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2406 PRINCESS ANNE RD, VIRGINIA BEACH, VA 23456-3409
(757) 351-3778
(757) 689-2551
Mailing address
2406 PRINCESS ANNE RD, VIRGINIA BEACH, VA 23456-3409
(757) 351-3778
(757) 689-2551
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556741
VA
Other
Enumeration date
10/14/2009
Last updated
01/24/2011
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