Individual
JACKSON LEWIS MASSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4301 W MARKHAM ST # 540, LITTLE ROCK, AR 72205-7101
(501) 686-8428
Mailing address
704 N HUGHES ST, LITTLE ROCK, AR 72205-2819
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/05/2023
Last updated
05/05/2023
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