ELL JACKSON

SAN FRANCISCO, CA
NPI1457895286
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2016-12-13
Last Update Date2016-12-13
Business Address
-- ELL JACKSON
561 SHOTWELL ST APT B
SAN FRANCISCO, CA 94110-1951
Phone number: 415-252-1853
Mailing Address
-- ELL JACKSON
561 SHOTWELL ST APT B
SAN FRANCISCO, CA 94110-1951
Phone number: 415-252-1853
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