Individual
JENIFER LYNN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
34248 E. TOWLE RD, ALTA, CA 95701
(530) 389-9208
(530) 389-9209
Mailing address
2215 COLONIAL VLG APT 3, AUBURN, CA 95603-9540
(530) 368-3357
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4946
CA
Other
Enumeration date
03/21/2007
Last updated
11/09/2007
About Stedi
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