TRACIE LATRICE JACKSON

COVINA, CA
NPI1275181414
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103K00000X Behavior Analyst
Additional Taxonomies372600000X Adult Companion
3747A0650X Technician, Attendant Care Provider
372500000X Chore Provider
3747P1801X Technician, Personal Care Attendant
376J00000X Homemaker
Enumeration Date2019-08-30
Last Update Date2024-04-03
Business Address
TRACIE LATRICE JACKSON
1274 CENTER COURT DR STE 211
COVINA, CA 91724-3668
Phone number: 909-231-5639
Mailing Address
TRACIE LATRICE JACKSON
3620 N RANCHO DR STE 117
LAS VEGAS, NV 89130-3154
Phone number: 725-251-3737