Search › Arizona › 251B00000X
Benita Jackson
NPI 1912300716 · on the registry since 2014 · sole proprietor
Practice
- Address
- 6102 W Townley Ave
Glendale, AZ 85302 - Phone
- (623) 915-9363
Registry record
- Primary taxonomy
- 251B00000X
251B00000X
- Sex
- Female
- Record last updated
- 2014-10-07
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