Individual
DASIA T JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
5636 N MANCHESTER AVE, KANSAS CITY, MO 64119-4126
(816) 908-7004
Mailing address
5636 N MANCHESTER AVE, KANSAS CITY, MO 64119-4126
(816) 908-7004
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
MO
Other
Enumeration date
05/23/2025
Last updated
05/26/2025
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