Zamekio Jackson

NPI 1053740902 - Psychologist - 103TM1800X

NPI Details
NPI 1053740902
Gender Male
Enumeration Date 11/01/2013
Last Updated 11/01/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
103 CENTURY 21 DR
JACKSONVILLE FL, 32216-8116, US
Phone (904) 389-5592
Fax
Business Location
103 CENTURY 21 DR
JACKSONVILLE FL, 32216-8116, US
Phone (904) 389-5592
Fax
Toxanomy
Taxonomy Code 103TM1800X
License State
License Number
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According to our database, Zamekio Jackson NPI is 1053740902, taxonomy code is 103TM1800X Zamekio Jackson physically located at 103 Century 21 Dr, Jacksonville FL, 32216-8116. NPI Number Zamekio Jackson has the Individual type.

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1053740902 NPI number is provided on an as is basis without warranty of any kind. 1053740902 is maintained by the National Plan & Provider Enumeration System. The contents of Zamekio Jackson are for informational purposes only.