Search › Iowa › 3747P1801X
Liyah Jackson
NPI 1659991305 · on the registry since 2020 · sole proprietor
Practice
- Address
- 1607 W 12th St
Davenport, IA 52804 - Phone
- (331) 662-8951
- Organisation at this address
- Signature Management
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 3747P1801X
3747P1801X
- Sex
- Female
- Record last updated
- 2020-04-23
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 Iowa