Individual
GARRETTE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1340 ARNOLD DR STE 110, MARTINEZ, CA 94553-4189
(925) 812-7075
Mailing address
1340 ARNOLD DR STE 110, MARTINEZ, CA 94553-4189
(925) 812-7075
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
07/24/2012
Last updated
04/18/2025
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