JACKY B HA

ELK GROVE, CA
NPI1104761865
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: CA  390200000X)
Enumeration Date2026-04-21
Last Update Date2026-04-21
Business Address
JACKY B HA
4604 TEGAN RD
ELK GROVE, CA 95758-5147
Phone number: 916-879-1286
Mailing Address
JACKY B HA
4604 TEGAN RD
ELK GROVE, CA 95758-5147
Phone number: 916-879-1286
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