MAIDA ELENA JACKSON

LOS ANGELES, CA
NPI1043945157
Former NameMAIDA RIVERA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95015651)
Enumeration Date2022-07-21
Last Update Date2022-07-21
Business Address
MAIDA ELENA JACKSON FNP
3612 1/2 E 1ST ST
LOS ANGELES, CA 90063-2326
Phone number: 323-264-7796
Mailing Address
MAIDA ELENA JACKSON FNP
6137 E DAYTON AVE
FRESNO, CA 93727-8937
Phone number: 559-473-7943
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