MARK JACKSON, MS
Speech-Language Pathologist
Active
Individual
NPI: 1790834596
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes | 8487 (CA) |
Frequently Asked Questions
NPI 1790834596 is the National Provider Identifier for MARK JACKSON, MS, a Speech-Language Pathologist provider located in Vallejo, CA. This NPI was enumerated on January 9, 2007.
MARK JACKSON, MS practices at 975 SERENO DR, Vallejo, CA 94589.
Quick Facts
- NPI
- 1790834596
- Type
- Individual
- Enumerated
- Jan 9, 2007
- Last Updated
- Jul 8, 2007
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