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Mr. John Thomas Jackson, LMP
Specialist in Des Moines, Washington
NPI 1093867723

John Thomas Jackson is a Specialist based in Des Moines, WA. John Thomas Jackson practices in Des Moines, WA and has the professional credentials of LMP. The NPI Number for John Thomas Jackson is 1093867723 and holds a License No. MA00005314 (Washington).

The current practice location address for John Thomas Jackson is 22007 Marine View Dr S, Des Moines, WA and can be reached out via phone at 206-592-1423 and via fax at 206-592-1428.

Location: 22007 Marine View Dr S, Des Moines, WA, 98198-0530
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093867723
Provider Name
John Thomas Jackson
Credential
LMP
Provider Entity Type
Individual
Gender
Male
Address
22007 Marine View Dr S, Des Moines, WA, 98198-0530
Phone Number
206-592-1423
Fax Number
206-592-1428
Provider Enumeration Date
01/16/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
22007 Marine View Dr S
City
Des Moines
State
Washington
Zip
98198-6259
Phone Number
206-592-1423
Fax Number
206-592-1428
person
Provider Business Mailing Address Details
Address
22007 Marine View Dr S
City
Des Moines
State
Washington
Zip
98198-6259
Phone Number
206-592-1423
Fax Number
206-592-1428
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MA00005314 (Washington)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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