MICHAEL WAYNE JACKSON

OAKLAND, CA
NPI1174593388
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: CA  6056T)
Enumeration Date2006-01-23
Last Update Date2007-07-08
Business Address
Dr. MICHAEL WAYNE JACKSON O.D.
1741 BROADWAY
OAKLAND, CA 94612-2105
Phone number: 510-835-8344
Mailing Address
Dr. MICHAEL WAYNE JACKSON O.D.
1741 BROADWAY
OAKLAND, CA 94612-2105
Phone number: 510-835-8344
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