Individual
MONICA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3235 GOSPORT WAY, RANCHO CORDOVA, CA 95670
(510) 685-2753
Mailing address
3235 GOSPORT WAY, RANCHO CORDOVA, CA 95670
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
820629
CA
Other
Enumeration date
09/05/2017
Last updated
09/05/2017
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