Individual
ALEXANDRIA FAITH JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5131 N CLASSEN BLVD STE 110, OKLAHOMA CITY, OK 73118-5258
(405) 767-1126
(405) 767-6285
Mailing address
5131 N CLASSEN BLVD STE 110, OKLAHOMA CITY, OK 73118-5258
(405) 767-1126
(405) 767-6285
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/02/2020
Last updated
06/02/2020
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