Individual
BRITTANY JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1404 PALM TER, PASADENA, CA 91104-5032
(626) 482-0418
Mailing address
1404 PALM TER, PASADENA, CA 91104-5032
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/28/2013
Last updated
10/28/2013
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