Tamara Jean Jackson LMT

NPI 1043542236 - Community Health Worker - 172V00000X

NPI Details
NPI 1043542236
Gender Female
Enumeration Date 02/12/2010
Last Updated 02/12/2010
Entity Type Individual
Active Over 7 years ago
Practice Location
350 HENRY AVE
WEWAHITCHKA FL, 32465-8766, US
Phone (850) 639-6211
Fax
Business Location
350 HENRY AVE
WEWAHITCHKA FL, 32465-8766, US
Phone (850) 639-6211
Fax
Toxanomy
Taxonomy Code 172V00000X
License State Florida
License Number MA36032
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According to our database, Mrs. Tamara Jean Jackson LMT NPI is 1043542236, taxonomy code is 172V00000X and license number is MA36032, license state is located at Florida. Tamara Jean Jackson LMT physically located at 350 Henry Ave, Wewahitchka FL, 32465-8766. NPI Number Tamara Jean Jackson LMT has the Individual type.

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1043542236 NPI number is provided on an as is basis without warranty of any kind. 1043542236 is maintained by the National Plan & Provider Enumeration System. The contents of Tamara Jean Jackson LMT are for informational purposes only.