KARIS LAVON JACKSON

TULSA, OK
NPI1073887808
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic
(Licence: OK  1194001412)
Enumeration Date2012-02-24
Last Update Date2012-02-24
Business Address
Mr. KARIS LAVON JACKSON
218 S 182ND EAST AVE
TULSA, OK 74108-2133
Phone number: 918-691-8579
Mailing Address
Mr. KARIS LAVON JACKSON
218 S 182ND EAST AVE
TULSA, OK 74108-2133
Phone number: 918-691-8579