Individual
LAMECIA LASHAY JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, CA
Contact information
Practice address
530 N ESTRELLA PKWY, #0-1, GOODYEAR, AZ 85338
(623) 932-9211
Mailing address
5830 W THUNDERBIRD RD # B8216, GLENDALE, AZ 85306-4654
(623) 203-8864
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-07028
AZ
Other
Enumeration date
08/22/2017
Last updated
01/26/2023
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