Shantele Dennene Jackson
Shantele Dennene Jackson is a Technician/Technologist in Livonia, Michigan. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
13973 Farmington RdLivonia, MI 48154-5403
Phone: (734) 855-4490
Fax: (248) 712-4381
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Technician/Technologist (primary) | Taxonomy 156F00000X |
|---|
Record details
| NPI number | 1770283913 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 7, 2023 |
| Last updated in NPPES | March 7, 2023 |
| Certification date | March 7, 2023 |
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