Individual
LAKISHIA GNELL JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3841 N FREEWAY BLVD STE 245, SACRAMENTO, CA 95834-1969
(916) 441-0226
Mailing address
3841 N FREEWAY BLVD STE 245, SACRAMENTO, CA 95834-1969
(916) 441-0226
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
08/22/2024
Last updated
09/29/2025
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