Individual
DEBRESIA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
900 E. WARDLOW RD, LONG BEACH, CA 90807
(562) 595-4525
Mailing address
900 E WARDLOW RD, LONG BEACH, CA 90807-4630
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/02/2017
Last updated
08/02/2017
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