Individual
JASON JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.P.T
Contact information
Practice address
4 E WEALD AVE, BEAR, DE 19701-1664
(302) 230-1271
(302) 838-7034
Mailing address
19 W 24TH ST, WILMINGTON, DE 19802-4129
(302) 230-1271
(302) 838-7034
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
20160113145
DE
Other
Enumeration date
01/13/2016
Last updated
01/13/2016
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