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NPI Profile for KIMBERLY JACKSON in PLANO, TX.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Phlebotomy |
246RP1900X | |||
Specialist/Technologist |
225500000X |
| NPI Number | 1710418355 |
|
| Status | Active | |
| Credentials | HAIR LOSS SPECIALIST | |
| Entity | Individual | |
| Enumeration date | 03/24/2017 | |
| Last updated | 02/16/2022 - About 4 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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KIMBERLY JACKSON
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KIMBERLY JACKSON, HAIR LOSS SPECIALIST