DESIRAE JACKSON

BUFFALO, NY
NPI1851581078
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy126800000X Dental Assistant
Enumeration Date2007-07-25
Last Update Date2007-07-25
Business Address
-- DESIRAE JACKSON CDA
VA WNY HEALTHCARE SYSTEM 3495 BAILEY AVE
BUFFALO, NY 14215-1311
Phone number: 716-862-8738
Mailing Address
-- DESIRAE JACKSON CDA
62 CROY AVE
BUFFALO, NY 14215-1311
Phone number: 716-862-8137
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