JAYLY JERMAYNE JACKSON

ANCHORAGE, AK
NPI1114698818
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2021-09-22
Last Update Date2023-01-31
Business Address
JAYLY JERMAYNE JACKSON
3801 UNIVERSITY LAKE DR STE 205
ANCHORAGE, AK 99508-4658
Phone number: 907-729-2492
Mailing Address
JAYLY JERMAYNE JACKSON
3801 UNIVERSITY LAKE DR
ANCHORAGE, AK 99508-4658
Phone number: 907-729-2492
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