Individual
MONICA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ADMINISTRATOR
Contact information
Practice address
6222 W AVENUE J9, LANCASTER, CA 93536-1735
(661) 609-7719
Mailing address
6222 W AVENUE J9, LANCASTER, CA 93536-1735
(661) 609-7719
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
197610284
CA
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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