MRS. Danielle Leenora Jackson, PA-C
NPI #1770711459 in Sausalito, California
Provider Information
- NPI Number
- 1770711459
- Entity Type
- Individual
- Name
- MRS. Danielle Leenora Jackson, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Jul 1, 2009
- Last Updated
- Jan 9, 2013
Practice Location
- Address
- 630 DRAKE AVE
- City
- Sausalito
- State
- California
- ZIP Code
- 94965-1107
- Phone
- (415) 339-8813
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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