KAMIAH PATRICE JACKSON

VIRGINIA BEACH, VA
NPI1033579222
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy222Q00000X Developmental Therapist
Enumeration Date2016-03-01
Last Update Date2016-03-01
Business Address
KAMIAH PATRICE JACKSON
4445 CORPORATION LN STE 264
VIRGINIA BEACH, VA 23462-3262
Phone number: 757-204-2691
Mailing Address
KAMIAH PATRICE JACKSON
500 FAIRWAY DR SUITE 102
DEERFIELD BEACH, FL 33441-1814
Phone number: 888-880-9270
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