LA DORIS JACKSON

LOS ANGELES, CA
NPI1013573757
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2019-05-17
Last Update Date2019-05-17
Business Address
LA DORIS JACKSON
4211 AVALON BLVD
LOS ANGELES, CA 90011-5622
Phone number: 323-233-0425
Mailing Address
LA DORIS JACKSON
4211 AVALON BLVD
LOS ANGELES, CA 90011-5622
Phone number: 323-233-0425