Desyre Kimberly Jackson
Desyre Kimberly Jackson is a Driver in Hampton, Virginia. Licensed in Virginia. Registered with an NPI since 2020.
- Licensed in
- VA
- In the registry since
- 2020
Practice location Address checks out
734 Pocahontas PlHampton, VA 23661-2434
Phone: (757) 975-3813
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Driver (primary) | Taxonomy 172A00000X (VA) |
|---|
Record details
| NPI number | 1790301281 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 19, 2020 |
| Last updated in NPPES | June 19, 2020 |
| Certification date | June 19, 2020 |
| Mailing address | 734 Pocahontas Pl, Hampton, VA 23661-2434 |
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