Organization
DR. JASMINE JACKSON DC INC
Active
Other names
Jackson Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
JASMINE JACKSON (OWNER)
(408) 655-5046
Entity
Organization
Contact information
Practice address
830 2ND ST STE B, SANTA ROSA, CA 95404-4620
(707) 544-5338
Mailing address
830 2ND ST STE B, SANTA ROSA, CA 95404-4620
(707) 544-5338
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1952576753
INDIVIDUAL NPI
CA
Enumeration date
01/12/2021
Last updated
01/12/2021
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