Individual
FERN ANN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
335 E AVENUE I, LANCASTER, CA 93535-1916
(661) 471-4561
Mailing address
335 E AVENUE I, LANCASTER, CA 93535-1916
(661) 471-4561
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
294323
CA
Other
Enumeration date
01/24/2023
Last updated
01/24/2023
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