NPI 1447792668

Dewayne Jackson, PERSONALTRAINER

Practitioner Health Educator Flint, MI

Practice location

Address: 4500 S Saginaw St, Flint, MI 48507-2676
Phone: (810) 265-7121
Mailing address: 2446 Green Pine Dr APT 5, Burton, MI 48519-1185

Registered specialties

Health Educator Primary

Other Service Providers Taxonomy 174H00000X Licence T192947 (MI)

Other Health Educator providers in Michigan →

Registry record

NPI: 1447792668
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Nov 2016
Record last updated: 7 Nov 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.