KHADIJA JACKSON

CLARION, PA
NPI1588171458
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: PA  OT018195)
Enumeration Date2018-01-02
Last Update Date2018-01-02
Business Address
KHADIJA JACKSON DO
24 DOCTORS LN STE 202
CLARION, PA 16214-8574
Phone number: 814-226-2500
Mailing Address
KHADIJA JACKSON DO
121 DOCTORS LN
CLARION, PA 16214-8515
Phone number: 814-226-3494