Individual
ANGELA M JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8795 RALSTON RD STE 202D, ARVADA, CO 80002-2357
(720) 212-6893
Mailing address
1761 E 105TH PL, NORTHGLENN, CO 80233-4210
(720) 212-6893
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0023276
CO
Other
Enumeration date
10/08/2020
Last updated
10/08/2020
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