DAVID JACKSON JR.
Community Health Worker
Active
Individual
NPI: 1376821645
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Community Health Worker | 172V00000X | Yes | - |
Frequently Asked Questions
NPI 1376821645 is the National Provider Identifier for DAVID JACKSON JR., a Community Health Worker provider located in Cheyenne, WY. This NPI was enumerated on August 3, 2011.
DAVID JACKSON JR. practices at 2310 E 8TH ST, Cheyenne, WY 82001.
Quick Facts
- NPI
- 1376821645
- Type
- Individual
- Enumerated
- Aug 3, 2011
- Last Updated
- Aug 3, 2011
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