MR. MIKEL JACKSON, ATC
Specialist/Technologist - Athletic Trainer
Active
Individual
NPI: 1679994263
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Specialist/Technologist - Athletic Trainer | 2255A2300X | Yes | - |
Frequently Asked Questions
NPI 1679994263 is the National Provider Identifier for MR. MIKEL JACKSON, ATC, a Specialist/Technologist - Athletic Trainer provider located in Oakland, CA. This NPI was enumerated on December 26, 2013.
MR. MIKEL JACKSON, ATC practices at 1832 101ST AVE, Oakland, CA 94603.
Quick Facts
- NPI
- 1679994263
- Type
- Individual
- Enumerated
- Dec 26, 2013
- Last Updated
- Dec 26, 2013
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