DANITRA NICOLE JACKSON

PALM DESERT, CA
NPI1093507881
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2025-05-19
Last Update Date2025-05-19
Business Address
DANITRA NICOLE JACKSON
41550 ECLECTIC ST
PALM DESERT, CA 92260-1967
Phone number: 760-288-9440
Mailing Address
DANITRA NICOLE JACKSON
41550 ECLECTIC ST
PALM DESERT, CA 92260-1967
Phone number: 888-336-8322