Individual
MS. CORLISS COLLEEN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REIKI MASTER
Contact information
Practice address
1519W. MESQUITE STREET, CHANDLER, AZ 85224-5235
(480) 720-8882
Mailing address
1519 W MESQUITE ST, CHANDLER, AZ 85224-2236
(480) 720-8882
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/27/2011
Last updated
08/09/2011
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