Individual
MINAL DAMANI JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 MERCY CT, CAMP PENDLETON, CA 92055
(760) 719-4062
(760) 719-4061
Mailing address
8080 PARKWAY DR, LA MESA MEDICAL OFFICES, LA MESA, CA 91942-2104
(619) 589-3403
(619) 589-3432
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A111952
CA
Other
Enumeration date
02/02/2006
Last updated
03/05/2025
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