Individual
MS. CURTIS JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1411 N GRAND AVE, 110, COVINA, CA 91724-1001
(626) 395-7100
Mailing address
2648 E WORKMAN AVE # 143, WEST COVINA, CA 91791-1604
(626) 736-3537
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
06/24/2008
Last updated
06/24/2008
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