Gerquetta Jackson

NPI #1053083733 in Torrance, California

Provider Information

NPI Number
1053083733
Entity Type
Individual
Name
Gerquetta Jackson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Oct 1, 2021
Last Updated
Apr 2, 2025

Practice Location

Address
23824 HAWTHORNE BLVD STE 200
ZIP Code
90505-5935
Phone
(310) 791-3064

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator
Behavior Technician

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