Individual
CEDRIC JACKSON SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
245 11TH ST, SAN FRANCISCO, CA 94103-3732
(415) 377-6977
Mailing address
245 11TH ST, SAN FRANCISCO, CA 94103-3732
(415) 377-6977
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/25/2016
Last updated
10/25/2016
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