KIYUNDA RENEE NICOLE JACKSON

LOS ANGELES, CA
NPI1073984662
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Additional Taxonomies225400000X Rehabilitation Practitioner
Enumeration Date2015-10-08
Last Update Date2023-06-27
Business Address
Ms. KIYUNDA RENEE NICOLE JACKSON
8019 COMPTON AVE
LOS ANGELES, CA 90001
Phone number: 323-586-7333
Mailing Address
Ms. KIYUNDA RENEE NICOLE JACKSON
8019 COMPTON AVE
LOS ANGELES, CA 90001-3409
Phone number: 323-586-7333
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