Individual
MIKIAH JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2751 NAPA VALLEY CORPORATE DR BLDG A, NAPA, CA 94558-6216
(707) 253-4727
Mailing address
2751 NAPA VALLEY CORPORATE DR BLDG A, NAPA, CA 94558-6216
(707) 253-4727
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
12/29/2023
Last updated
06/09/2025
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