WILLIE JACKSON II

Day Training/Habilitation Specialist

Active Individual
NPI: 1700995792

Practice Address

1860 MEMORY LN
Jacksonville, FL 32210

Phone: (904) 265-0340

Specialties

Specialty Code Primary License
Day Training/Habilitation Specialist 373H00000X Yes -

Frequently Asked Questions

NPI 1700995792 is the National Provider Identifier for WILLIE JACKSON II, a Day Training/Habilitation Specialist provider located in Jacksonville, FL. This NPI was enumerated on August 30, 2006.
WILLIE JACKSON II practices at 1860 MEMORY LN, Jacksonville, FL 32210.

Quick Facts

NPI
1700995792
Type
Individual
Enumerated
Aug 30, 2006
Last Updated
Jul 8, 2007

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