Individual
BIANCA RISHA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11301 WILSHIRE BLVD, LOS ANGELES, CA 90073-1003
(330) 703-8413
Mailing address
11301 WILSHIRE BLVD, LOS ANGELES, CA 90073-1003
(330) 703-8413
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/05/2025
Last updated
09/17/2025
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