Individual
ANGELA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1904 RICHLAND AVE, CERES, CA 95307-4562
(661) 300-8800
Mailing address
1904 RICHLAND AVE, CERES, CA 95307-4562
(661) 300-8800
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/07/2016
Last updated
07/07/2016
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