TATIANIE ALICIA JACKSON

SCRANTON, PA
NPI1528313558
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2085N0904X Radiology, Nuclear Radiology
(Licence: PA  MD470854)
Additional Taxonomies2085R0202X Radiology, Diagnostic Radiology
(Licence: MA  278083)
207U00000X Nuclear Medicine
(Licence: MA  278083)
Enumeration Date2012-07-16
Last Update Date2020-09-25
Business Address
Dr. TATIANIE ALICIA JACKSON MD
1800 MULBERRY ST
SCRANTON, PA 18510-2369
Phone number: 570-703-8151
Mailing Address
Dr. TATIANIE ALICIA JACKSON MD
100 N ACADEMY AVE
DANVILLE, PA 17822-4903
Phone number: 570-271-6144