CAROL JACKSON

LOS ANGELES, CA
NPI1104993963
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: CA  NA359)
Enumeration Date2006-11-29
Last Update Date2007-11-29
Business Address
CAROL JACKSON CRNA
4760 W SUNSET BLVD
LOS ANGELES, CA 90027-6063
Phone number: 323-783-4011
Mailing Address
CAROL JACKSON CRNA
393 E WALNUT ST 3RD FLOOR PHR SYSTEMS
PASADENA, CA 91188-0001
Phone number: 000-000-0000
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