Andrea Irene Jackson
NPI #1992987309 in Compton, California
Provider Information
- NPI Number
- 1992987309
- Entity Type
- Individual
- Name
- Andrea Irene Jackson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Nov 28, 2007
- Last Updated
- Aug 4, 2011
Practice Location
- Address
- 921 E COMPTON BLVD
- City
- Compton
- State
- California
- ZIP Code
- 90221-3303
- Phone
- (310) 668-6953
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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