Kristina Janet Jackson BA

NPI 1780990531 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1780990531
Gender Female
Enumeration Date 08/30/2010
Last Updated 08/30/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
1145 GAYLEY AVE
SUITE 322
LOS ANGELES CA, 90024-3423, US
Phone (310) 208-7187
Fax
Business Location
1145 GAYLEY AVE
SUITE 322
LOS ANGELES CA, 90024-3423, US
Phone (310) 208-7187
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Kristina Janet Jackson BA NPI is 1780990531, taxonomy code is 390200000X Kristina Janet Jackson BA physically located at 1145 Gayley Ave, Los Angeles CA, 90024-3423. NPI Number Kristina Janet Jackson BA has the Individual type.

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1780990531 NPI number is provided on an as is basis without warranty of any kind. 1780990531 is maintained by the National Plan & Provider Enumeration System. The contents of Kristina Janet Jackson BA are for informational purposes only.