Individual
TERESA JACKSON-NOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
39407 VISTA DEL SOL, RANCHO MIRAGE, CA 92270-3283
(760) 423-6811
Mailing address
39407 VISTA DEL SOL, RANCHO MIRAGE, CA 92270-3283
(760) 423-6706
Taxonomy
Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
A71589
CA
Other
Enumeration date
09/16/2006
Last updated
05/03/2024
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