Individual provider · Type 1 NPI

Dia Jackson

Other Technician · Detroit, MI

NPI number 1144670696 Active

Practice location

15917 Winthrop St
Detroit, MI 48227-2351

Call (313) 721-6842 Map

Specialties and licenses

TaxonomyCodeLicense
Other Technician Primary 247200000XNone listed

Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

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About NPI 1144670696

Dia Jackson's National Provider Identifier is 1144670696, issued on Jun 15, 2016. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Detroit, MI. The record was last updated on Jun 15, 2016.