Individual
MS. DOROTHY HELEN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12440 IMPERIAL HWY, 116, NORWALK, CA 90650-3177
(800) 854-7771
Mailing address
1267 PEPPERWOOD CT, CARSON, CA 90746-7448
(310) 632-1708
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN214999
CA
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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