Individual
ELIZABETH ALEXANDRIA JONES JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8077 FLORENCE AVE # SUIE203A, DOWNEY, CA 90240-3826
(562) 343-6749
(562) 280-2813
Mailing address
8077 FLORENCE AVE # SUIE203A, DOWNEY, CA 90240-3826
(562) 343-6749
(562) 280-2813
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
L9740
CA
Other
Enumeration date
05/18/2024
Last updated
05/18/2024
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