MISS BENITA JACKSON
Case Management
Active
Individual
NPI: 1912300716
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Case Management | 251B00000X | Yes | - |
Frequently Asked Questions
NPI 1912300716 is the National Provider Identifier for MISS BENITA JACKSON, a Case Management provider located in Glendale, AZ. This NPI was enumerated on October 7, 2014.
MISS BENITA JACKSON practices at 6102 W TOWNLEY AVE, Glendale, AZ 85302.
Quick Facts
- NPI
- 1912300716
- Type
- Individual
- Enumerated
- Oct 7, 2014
- Last Updated
- Oct 7, 2014
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