Individual
JACINTA HACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
58967 BUSINESS CENTER DR, YUCCA VALLEY, CA 92284-7308
(760) 369-3130
Mailing address
58967 BUSINESS CENTER DR, YUCCA VALLEY, CA 92284-7308
(760) 369-3130
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/07/2019
Last updated
08/07/2019
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