Individual
BARBARA JEANNE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
226 E 88TH PL, LOS ANGELES, CA 90003-3414
(213) 215-0514
Mailing address
226 E 88TH PL, LOS ANGELES, CA 90003-3414
(213) 215-0514
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
82332
CA
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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