JIMMIE LEE JACKSON

SAN DIEGO, CA
NPI1124513783
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
Enumeration Date2018-06-26
Last Update Date2018-07-02
Business Address
JIMMIE LEE JACKSON
1260 MORENA BLVD STE 100
SAN DIEGO, CA 92110
Phone number: 619-398-0355
Mailing Address
JIMMIE LEE JACKSON
1260 MORENA BLVD STE 100
SAN DIEGO, CA 92110-3850
Phone number: 619-398-0355