Search › Arizona › 374U00000X
Randy Jackson
NPI 1750807442 · on the registry since 2017
Practice
- Address
- 9837 E Natal Ave
Mesa, AZ 85209 - Phone
- (480) 750-7185
- Organisation at this address
- Integri Homecare, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Sex
- Male
- Record last updated
- 2017-08-15
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