| NPI | 1154592517 |
|---|---|
| Professional Name | JACKIE A MACKEY DUTTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 146M00000X Emergency Medical Technician, Intermediate (Licence: NM 03000684) |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2008-03-13 |