STACY LATRICE JACKSON

SEATTLE, WA
NPI1982898227
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: WA  MA00024477)
Enumeration Date2007-08-29
Last Update Date2008-12-18
Business Address
STACY LATRICE JACKSON
6817 GREENWOOD AVE. N.
SEATTLE, WA 98103-8801
Phone number: 725-351-0871
Mailing Address
STACY LATRICE JACKSON
6817 GREENWOOD AVE N
SEATTLE, WA 98103-8801
Phone number:
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