KATRINA E JACKSON

CHARLOTTESVILLE, VA
NPI1992428890
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy208600000X Surgery
(Licence: VA  0136000370)
Enumeration Date2022-09-26
Last Update Date2022-09-26
Business Address
Miss KATRINA E JACKSON LSA, CSFA
500 MARTHA JEFFERSON DR
CHARLOTTESVILLE, VA 22911-4668
Phone number: 434-654-7200
Mailing Address
Miss KATRINA E JACKSON LSA, CSFA
115 WOOD DUCK PL APT 303
CHARLOTTESVILLE, VA 22902-8202
Phone number: 757-300-3428