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Individual

NEJUAN JACKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N

Contact information

Practice address
450 BAUCHET ST, LOS ANGELES, CA 90012-2907
(213) 893-5391
Mailing address
3541 N WOODRUFF CT, RIALTO, CA 92377-2600

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
301891
CA

Other

Enumeration date
11/05/2008
Last updated
11/05/2008
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