Shavaki Denise Jackson

NPI #1013150465 in Oakland, California

Provider Information

NPI Number: 1013150465
Entity Type: Individual
Name: Shavaki Denise Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Community Health Worker
Enumeration Date: Apr 15, 2009
Last Updated: Apr 15, 2009

Practice Location

Address: 954 60TH ST
Address 2: SUITE 10
City: Oakland
State: California
ZIP Code: 94608-2369
Phone: (510) 835-2505

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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