Individual
SYLVIA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4147 W COURT ST, APT 1, FLINT, MI 48532-3568
(810) 388-8402
Mailing address
4147 W COURT ST, APT 1, FLINT, MI 48532-3568
(810) 388-8402
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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