Individual
JOLISA SYNCEAREY ROBINSON JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2940 INLAND EMPIRE BLVD, ONTARIO, CA 91764-4898
(909) 458-1518
Mailing address
2940 INLAND EMPIRE BLVD, ONTARIO, CA 91764-4898
(909) 458-1518
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
MPSS-FYUDVL
CA
Other
Enumeration date
04/25/2023
Last updated
03/20/2025
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