Individual
JACKIE CLASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
44 CROWN HOLLOW RD, VINEYARD HAVEN, MA 02568-7903
(508) 693-7091
Mailing address
44 CROWN HOLLOW RD, VINEYARD HAVEN, MA 02568-7903
(508) 693-7091
Taxonomy
Speciality
Code
Description
License number
State
175L00000X
Homeopath
Primary
—
—
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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