Individual
NANCY JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6611 FOLSOM AUBURN RD STE E, FOLSOM, CA 95630-2100
(310) 283-0580
Mailing address
132 WINTERSTEIN DR, FOLSOM, CA 95630-2325
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
91017
CA
225700000X
Massage Therapist
—
—
Other
Enumeration date
08/30/2023
Last updated
08/26/2024
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