MRS. La'shawnta Jackson, P.A.

NPI #1366645897 in Sun City, California

Provider Information

NPI Number: 1366645897
Entity Type: Individual
Name: MRS. La'shawnta Jackson, P.A.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: P.A.
Enumeration Date: Jun 11, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 26960 CHERRY HILLS BLVD
Address 2: SUITE C
City: Sun City
State: California
ZIP Code: 92586-2512
Phone: (951) 301-7615

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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