GRACE E. JACKSON, MD, PLLC
Psychiatric at Candy Ln, Cottonwood, AZ

License number
Arizona 46710
Category
Psychiatric
Type
Psychiatry
Owner
Name: GRACE E JACKSON MD
Title: CEO
Phone: (928) 649-6736
Address
Address
115 S Candy Ln STE C2, Cottonwood, AZ 86326
National Provider ID: 1568863322
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GRACE E JACKSON MD PLLC

115 S Candy Ln STE C2, Cottonwood, AZ 86326

Doing business as:
Grace E Jackson MD
Registration:
Aug 11, 2014
Phone:
(928) 649-6736 (Phone)
State ID:
P-1944932-0
Expiration:
PERPETUAL
Member:
Grace E Jackson Md (Member), 115 S Candy Ln STE C2, Cottonwood, AZ 86326 (Physical)
Categories:
Psychiatry Physicians

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