BRANDON JACKSON

LOS ANGELES, CA
NPI1457994634
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225400000X Rehabilitation Practitioner
Additional Taxonomies175T00000X Peer Specialist
Enumeration Date2019-10-21
Last Update Date2019-10-21
Business Address
Mr. BRANDON JACKSON Recovery Practioner
1873 W 54TH ST
LOS ANGELES, CA 90062-2604
Phone number: 562-794-7892
Mailing Address
Mr. BRANDON JACKSON Recovery Practioner
1873 W 54TH ST
LOS ANGELES, CA 90062-2604
Phone number: 562-794-7892
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