Search › Oklahoma › 101YM0800X
Demetra Jackson, B.S
NPI 1619228095 · on the registry since 2012 · sole proprietor
Practice
- Address
- 1116 Sw 59th St Apt 1
Oklahoma City, OK 73109 - Phone
- (405) 618-9411
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Sex
- Female
- Record last updated
- 2012-09-26
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 Oklahoma