Individual
ANGELIA RENE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6055 SOUTH FWY, HOUSTON, TX 77004-6287
(713) 522-2100
Mailing address
15715 BIRCH RIVER DR, HOUSTON, TX 77082-1407
(832) 908-5782
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
01/13/2021
Last updated
01/13/2021
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