COURTNEY LARA JACKSON

SAN FRANCISCO, CA
NPI1063606846
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Additional Taxonomies101Y00000X Counselor
Enumeration Date2007-09-05
Last Update Date2015-04-21
Business Address
-- COURTNEY LARA JACKSON
1801 VINCENTE ST
SAN FRANCISCO, CA 94116-2923
Phone number: 415-681-3211
Mailing Address
-- COURTNEY LARA JACKSON
1801 VINCENTE ST
SAN FRANCISCO, CA 94116-2923
Phone number:
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