| NPI | 1316996671 |
|---|---|
| Other Name | AVANELLE V JACK-JACKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 78666) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: LA MD.022645) |
| Enumeration Date | 2006-05-06 |
| Last Update Date | 2017-10-24 |