Individual
ALOMA CLEE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
740 W 4TH AVE, EUGENE, OR 97402-5025
(541) 485-6340
Mailing address
2145 CENTENNIAL PLZ, EUGENE, OR 97401-2474
(541) 485-6340
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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