Individual
CHERYL JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 BEGOLE ST, FLINT, MI 48504-3197
(810) 241-2891
Mailing address
2001 BEGOLE ST, FLINT, MI 48504-3197
(810) 241-2891
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704181211
MI
Other
Enumeration date
07/06/2011
Last updated
07/06/2011
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