Individual
JACKIE LAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30800 PALO ALTO DR, REDLANDS, CA 92373-7488
(909) 794-8620
Mailing address
30800 PALO ALTO DR, REDLANDS, CA 92373-7488
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
CA
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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