MR. Robert Romulus Jackson I
NPI #1164058657 in Sylmar, California
Provider Information
- NPI Number
- 1164058657
- Entity Type
- Individual
- Name
- MR. Robert Romulus Jackson I
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Rehabilitation Practitioner
- Enumeration Date
- Mar 17, 2020
- Last Updated
- Jun 10, 2025
Practice Location
- Address
- 11600 ELDRIDGE AVE
- City
- Sylmar
- State
- California
- ZIP Code
- 91342-6506
- Phone
- (661) 208-9964
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
| Rehabilitation Practitioner |
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