Individual
LOUVENIA C JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 EDMONDS RD, REDWOOD CITY, CA 94062-3803
(650) 341-5247
Mailing address
400 EDMONDS RD, REDWOOD CITY, CA 94062-3803
(650) 341-5247
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
—
—
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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