MARISSA JACKSON

SIERRA VISTA, AZ
NPI1861634552
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: AZ  RN100325)
Enumeration Date2009-03-27
Last Update Date2009-03-27
Business Address
-- MARISSA JACKSON
101 N CORONADO DR SUITE A
SIERRA VISTA, AZ 85635-6358
Phone number: 520-792-1450
Mailing Address
-- MARISSA JACKSON
2883 MOUNTAIN RIDGE DR
SIERRA VISTA, AZ 85650-7517
Phone number: 520-803-9926
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