FAISON JACKSON

LOS ANGELES, CA
NPI1366132813
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA64805)
Enumeration Date2023-05-09
Last Update Date2026-07-13
Business Address
Mr. FAISON JACKSON
269 S SAN PEDRO ST
LOS ANGELES, CA 90012-3808
Phone number: 213-947-3600
Mailing Address
Mr. FAISON JACKSON
269 S SAN PEDRO ST
LOS ANGELES, CA 90012-3808
Phone number: 213-947-3600
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