Individual
LASHARAE MECHELLE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14410 BAILEY CT, VICTORVILLE, CA 92394-3205
(442) 284-2778
Mailing address
14410 BAILEY CT, VICTORVILLE, CA 92394-3205
(442) 284-2778
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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