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Individual

MRS. CHRISTA LYNN JACKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.D.H.A.P.

Contact information

Practice address
4508 SAINT CLAIR AVENUE, STUDIO CITY, CA 91604
(818) 269-8898
(818) 506-2595
Mailing address
4508 SAINT CLAIR AVENUE, STUDIO CITY, CA 91604
(818) 269-8898
(818) 506-2595

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
HAP314
CA

Other

Enumeration date
09/23/2010
Last updated
06/02/2023
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