Organization
A LIVING CHANCE CLINICAL TRIALS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WOODY H JACKSON MD (OWNER)
(919) 308-1562
Entity
Organization
Contact information
Practice address
41593 WINCHESTER RD, TEMECULA, CA 92590-4860
(919) 308-1562
Mailing address
PO BOX 775, MURRIETA, CA 92564-0775
(919) 308-1562
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
11/29/2018
Last updated
12/06/2018
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