| NPI | 1285085357 |
|---|---|
| Professional Name | WESLEY ALEXANDER JACKSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA SC006736) |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2024-04-17 |