ANTHONY RASHAD JACKSON

PHOENIX, AZ
NPI1407595689
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: AZ  9352)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-06-03
Last Update Date2022-10-17
Business Address
ANTHONY RASHAD JACKSON PA
435 N 5TH ST
PHOENIX, AZ 85004-2157
Phone number: 602-827-2450
Mailing Address
ANTHONY RASHAD JACKSON PA
12806 W HEARN RD
EL MIRAGE, AZ 85335-7308
Phone number: 404-578-8572