Jenifer Lynn Jackson
NPI #1629194972 in Alta, California
Provider Information
- NPI Number
- 1629194972
- Entity Type
- Individual
- Name
- Jenifer Lynn Jackson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist
- Enumeration Date
- Mar 21, 2007
- Last Updated
- Nov 9, 2007
Practice Location
- Address
- 34248 E. TOWLE RD
- City
- Alta
- State
- California
- ZIP Code
- 95701
- Phone
- (530) 389-9208
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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