Individual
MISS DARLENE VICTORIA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3233 W PEORIA AVE, STE 224, PHOENIX, AZ 85029-4614
(602) 866-2231
Mailing address
3233 W PEORIA AVE, STE 224, PHOENIX, AZ 85029-4614
(602) 866-2231
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3656
AZ
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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