TONY JACKSON

MERCED, CA
NPI1225424211
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  36316)
Enumeration Date2015-04-07
Last Update Date2015-04-07
Business Address
-- TONY JACKSON LPT
300 E 15TH ST
MERCED, CA 95341-6217
Phone number: 209-381-6879
Mailing Address
-- TONY JACKSON LPT
PO BOX 2084
MERCED, CA 95344-0084
Phone number: 209-381-6879
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