Mavis Victoria Jackson
Mavis Victoria Jackson is a Developmental Therapist in Pompano Beach, Florida. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
2708 NE 14th St Ste 5Pompano Beach, FL 33062-3565
Phone: (888) 880-9279
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Developmental Therapist (primary) | Taxonomy 222Q00000X |
|---|
Record details
| NPI number | 1043556939 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 20, 2012 |
| Last updated in NPPES | December 20, 2012 |
| Mailing address | 33050 Sw 187th Ave, Florida City, FL 33034-1611 |
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