Individual
SHEILAH MONIQUE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
8725 LA TIJERA BLVD, LOS ANGELES, CA 90045-3906
(424) 331-5661
(310) 760-2033
Mailing address
8300 S HOOVER ST APT 101, LOS ANGELES, CA 90044-4948
(323) 671-6883
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
88158
CA
Other
Enumeration date
12/22/2021
Last updated
12/22/2021
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