Individual provider · Type 1 NPI

Charlene Rene Jackson

Other Technician · Eastpointe, MI

NPI number 1487105458 Active

Practice location

18029 Stephens Dr
Eastpointe, MI 48021-1810

Call (586) 209-9161 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 1487105458

Charlene Rene Jackson's National Provider Identifier is 1487105458, issued on Oct 14, 2016. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Eastpointe, MI. The record was last updated on Oct 14, 2016.