TARA JACKSON

PORTLAND, ME
NPI1851255764
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224P00000X Prosthetist
(Licence: ME  CPO04857)
Enumeration Date2025-12-15
Last Update Date2025-12-15
Business Address
TARA JACKSON CPO
1274 CONGRESS ST
PORTLAND, ME 04102-2111
Phone number: 207-774-1002
Mailing Address
TARA JACKSON CPO
1274 CONGRESS ST
PORTLAND, ME 04102-2111
Phone number: 207-774-1002