SHAUNA JACKSON

Chore Provider

Active Individual
NPI: 1063888907

Practice Address

720 LAKEWOOD ST
Detroit, MI 48215

Phone: (313) 656-8238

Specialties

Specialty Code Primary License
Chore Provider 372500000X Yes -

Frequently Asked Questions

NPI 1063888907 is the National Provider Identifier for SHAUNA JACKSON, a Chore Provider provider located in Detroit, MI. This NPI was enumerated on August 14, 2015.
SHAUNA JACKSON practices at 720 LAKEWOOD ST, Detroit, MI 48215.

Quick Facts

NPI
1063888907
Type
Individual
Enumerated
Aug 14, 2015
Last Updated
Aug 14, 2015

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