TRACEY L JACKSON

SACRAMENTO, CA
NPI1558486803
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2007-03-19
Last Update Date2019-01-11
Business Address
MR. TRACEY L JACKSON
4612 ROOSEVELT AVE
SACRAMENTO, CA 95820
Phone number: 916-457-3129
Mailing Address
MR. TRACEY L JACKSON
4612 ROOSEVELT AVE
SACRAMENTO, CA 95820-4520
Phone number: 916-457-3129
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