Individual
ROBERT C JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
539 AIRPORT RD, HOOPA, CA 95546-0539
(530) 625-4261
(530) 618-5773
Mailing address
PO BOX 821, HOOPA, CA 95546-0821
(530) 625-4261
(530) 618-5773
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
CA
Other
Enumeration date
07/21/2026
Last updated
07/21/2026
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