TATIANIE ALICIA JACKSON

HERSHEY, PA
NPI1528313558
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2085N0904X Radiology Nuclear Radiology
(Licence: PA  MD470854)
Additional Taxonomies207U00000X Nuclear Medicine
(Licence: MA  278083)
2085R0202X Radiology Diagnostic Radiology
(Licence: MA  278083)
Enumeration Date2012-07-16
Last Update Date2024-06-11
Business Address
DR. TATIANIE ALICIA JACKSON MD
500 UNIVERSITY DR MC CA410
HERSHEY, PA 17033-2360
Phone number: 175-318-0447
Mailing Address
DR. TATIANIE ALICIA JACKSON MD
100 N ACADEMY AVE
DANVILLE, PA 17822-4903
Phone number: 570-271-6144