Individual
MRS. BRITTANY OREON JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBA
Contact information
Practice address
4710 EAGLERIDGE CIR STE 230, PUEBLO, CO 81008-2176
(719) 582-8736
Mailing address
87 DRAKE ST, PUEBLO, CO 81005-1944
(720) 551-2551
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
741674
CO
Other
Enumeration date
04/04/2012
Last updated
09/01/2022
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