Shaniece Jackson
Shaniece Jackson is an Athletic Trainer in Miami, Florida. Practices as a sole proprietor. Registered with an NPI since 2016.
- In the registry since
- 2016
Practice location Address checks out
9521 Fontainebleau Blvd Apt 118Miami, FL 33172-6803
Phone: (201) 606-5745
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X |
|---|
Record details
| NPI number | 1912350729 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 16, 2016 |
| Last updated in NPPES | July 16, 2016 |
| Mailing address | 9521 Fontainebleau Blvd Apt 118, Miami, FL 33172-6803 |
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