SearchVirginia183500000X

Ayumi Jackson

NPI 1992410823 · on the registry since 2023 · sole proprietor

Practice

Address
208 Chenango Cres
Suffolk, VA 23434
Phone
(757) 705-8560

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-01-16

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 Virginia