NPI Lookup
NPPES Search
Providers by State
Blog
Home
1184022659
IDA OLIVIA JACKSON
KIRKWOOD, MO
NPI
1184022659
Copy
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171100000X Acupuncturist
(Licence: MO 2013032932)
Enumeration Date
2014-12-15
Last Update Date
2014-12-15
Business Address
Miss IDA OLIVIA JACKSON LAc, LMT
103 N TAYLOR AVE SUITE B
KIRKWOOD, MO 63122-4360
Phone number: 314-623-2302
Copy
Mailing Address
Miss IDA OLIVIA JACKSON LAc, LMT
103 N TAYLOR AVE SUITE B
KIRKWOOD, MO 63122-4360
Phone number: 314-623-2302
Copy