Individual
DR. DANA LENORE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO, MS
Contact information
Practice address
525 E MAIN ST, EL CAJON, CA 92020-4007
(619) 515-2498
Mailing address
823 GATEWAY CENTER WAY, SAN DIEGO, CA 92102-4541
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20A14119
CA
Other
Enumeration date
04/13/2015
Last updated
06/05/2023
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