Individual
BIANCA VALERIA CARRION-JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
1200 NORTH STATE STREET, CTA7D,, LOS ANGELES, CA 90033
(323) 409-5707
Mailing address
1200 NORTH STATE STREET, CTA7D,, LOS ANGELES, CA 90033
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A164597
CA
Other
Enumeration date
03/21/2018
Last updated
06/26/2024
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