Individual
JENNIFER JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
333 LAWS AVE, UKIAH, CA 95482-6540
(707) 468-1010
Mailing address
333 LAWS AVE, UKIAH, CA 95482-6540
(707) 468-1010
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
01/25/2024
Last updated
01/25/2024
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