Daleda Jackson
Daleda Jackson is an Other Technician in Detroit, Michigan. Practices as a sole proprietor. Registered with an NPI since 2016.
- In the registry since
- 2016
Practice location Address checks out
17421 Telegraph RdDetroit, MI 48219-3165
Phone: (313) 297-2975
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Other Technician (primary) | Taxonomy 247200000X |
|---|
Record details
| NPI number | 1407205008 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 6, 2016 |
| Last updated in NPPES | June 6, 2016 |
| Mailing address | 19178 Rutherford St, Detroit, MI 48235-2345 |
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