ALLWYNE JACKSON

PASADENA, CA
NPI1518280494
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2010-03-08
Last Update Date2010-03-08
Business Address
-- ALLWYNE JACKSON
2550 E FOOTHILL BLVD
PASADENA, CA 91107-3406
Phone number: 626-463-1021
Mailing Address
-- ALLWYNE JACKSON
2970 SANTA ANITA AVE
ALTADENA, CA 91001-1666
Phone number:
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