Individual provider · Type 1 NPI

Kimberly Jackson, HAIR LOSS SPECIALIST

Phlebotomy Technician · Plano, TX

NPI number 1710418355 Active

Practice location

204 Coit Rd Ste 200
Plano, TX 75075-5718

Mailing address

2402 High Star Dr
Garland, TX 75041-3236

Specialties and licenses

TaxonomyCodeLicense
Respiratory/Developmental/Rehabilitative Specialist/Technologist 225500000XNone listed
Phlebotomy Technician Primary 246RP1900XNone listed

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About NPI 1710418355

Kimberly Jackson, HAIR LOSS SPECIALIST's National Provider Identifier is 1710418355, issued on Mar 24, 2017. The primary taxonomy on file is Phlebotomy Technician (246RP1900X), and the practice location is in Plano, TX. The record was last updated on Feb 16, 2022.