Individual
MS. THELMA CYNTHIA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RRT
Contact information
Practice address
2051 MARENGO ST, LOS ANGELES, CA 90033-1352
(323) 409-7928
Mailing address
2051 MARENGO ST, LOS ANGELES, CA 90033-1352
(323) 409-7928
Taxonomy
Speciality
Code
Description
License number
State
2279C0205X
Critical Care Registered Respiratory Therapist
Primary
5337
CA
Other
Enumeration date
08/14/2017
Last updated
07/21/2022
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