STACY JACKSON

WASHINGTON, DC
NPI1720864994
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2023-09-05
Last Update Date2023-09-05
Business Address
STACY JACKSON
1100 H ST NW
WASHINGTON, DC 20005-5476
Phone number: 888-701-3131
Mailing Address
STACY JACKSON
850 TOWBIN AVE
LAKEWOOD, NJ 08701-5928
Phone number: 888-701-3131