Individual
MS. JUANITA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11000 CORPORATE CENTRE DR STE 100, HOUSTON, TX 77041-5167
(713) 983-2082
Mailing address
11000 CORPORATE CENTRE DR STE 100, HOUSTON, TX 77041-5167
(713) 983-2082
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
106198
TX
Other
Enumeration date
08/06/2010
Last updated
08/06/2010
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