Individual
DAWN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 CENTURIAN DR, SUITE 303, NEWARK, DE 19713-2137
(302) 373-3463
Mailing address
2207 CONCORD PIKE # 207, WILMINGTON, DE 19803-2908
(302) 373-3463
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-0003145
DE
Other
Enumeration date
03/24/2013
Last updated
03/24/2013
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