SearchArizona225700000X

Alain Jackson

NPI 1336822428 · on the registry since 2023 · sole proprietor

Practice

Address
2261 E Dartmouth St
Mesa, AZ 85213
Phone
(480) 540-3919

Registry record

Primary taxonomy
225700000X
225700000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-08-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona