Shavon Leigh Jackson-michel N.D.

NPI 1144523390 - Naturopath - 175F00000X

NPI Details
NPI 1144523390
Gender Female
Enumeration Date 12/09/2010
Last Updated 12/09/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
399 HOOVER AVE
SUITE 8
BLOOMFIELD NJ, 07003-3924, US
Phone (973) 544-8399
Fax (973) 429-7887
Business Location
399 HOOVER AVE
SUITE 8
BLOOMFIELD NJ, 07003-3924, US
Phone (973) 544-8399
Fax (973) 429-7887
Toxanomy
Taxonomy Code 175F00000X
License State Connecticut
License Number 000448
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According to our database, Dr. Shavon Leigh Jackson-michel N.D. NPI is 1144523390, taxonomy code is 175F00000X and license number is 000448, license state is located at Connecticut. Shavon Leigh Jackson-michel N.D. physically located at 399 Hoover Ave, Bloomfield NJ, 07003-3924. NPI Number Shavon Leigh Jackson-michel N.D. has the Individual type.

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1144523390 NPI number is provided on an as is basis without warranty of any kind. 1144523390 is maintained by the National Plan & Provider Enumeration System. The contents of Shavon Leigh Jackson-michel N.D. are for informational purposes only.