Individual
NANCY JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
824 S DIAMOND ST, NAMPA, ID 83686-5960
(208) 606-0396
Mailing address
24250 REYES ADOBE WAY, VALENCIA, CA 91354-1558
(818) 554-2039
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
01/19/2024
Last updated
01/31/2024
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