MELISSA LOUSIE JACKSON

SCARBOROUGH, ME
NPI1497064695
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy204C00000X Neuromusculoskeletal Medicine, Sports Medicine
(Licence: ME  MT3643)
Enumeration Date2010-10-05
Last Update Date2010-10-05
Business Address
-- MELISSA LOUSIE JACKSON
4 VICTORY LN
SCARBOROUGH, ME 04074-8486
Phone number: 207-939-7627
Mailing Address
-- MELISSA LOUSIE JACKSON
4 VICTORY LN
SCARBOROUGH, ME 04074-8486
Phone number: 207-939-7627