Search › Maine › 204C00000X
Melissa Jackson
NPI 1497064695 · on the registry since 2010 · sole proprietor
Practice
- Address
- 4 Victory Ln
Scarborough, ME 04074 - Phone
- (207) 939-7627
Registry record
- Primary taxonomy
- 204C00000X
204C00000X
- Licence states on file
- ME
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-10-05
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 Maine