Individual
ELENA B JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
770 MAGNOLIA AVE SUITE 2A, CORONA, CA 92879-3122
(951) 736-8144
(951) 736-0701
Mailing address
770 MAGNOLIA AVE STE 2A, CORONA, CA 92879-3122
(951) 736-8144
(951) 736-0701
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A97558
CA
Other
Enumeration date
04/18/2007
Last updated
05/01/2012
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