MICHELLE DENISE JACKSON

BANNING, CA
NPI1033460761
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  PT 30277)
Enumeration Date2012-09-20
Last Update Date2012-09-20
Business Address
MS. MICHELLE DENISE JACKSON LPT
1330 W RAMSEY ST STE 100
BANNING, CA 92220-4477
Phone number: 951-849-7142
Mailing Address
MS. MICHELLE DENISE JACKSON LPT
1330 W RAMSEY ST STE 100
BANNING, CA 92220-4477
Phone number: 951-849-7142
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