PORTIA MONIQUE JACKSON

SAN BERNARDINO, CA
NPI1619496049
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: CA  272565)
Enumeration Date2017-09-18
Last Update Date2017-09-18
Business Address
Miss PORTIA MONIQUE JACKSON LVN
1022 SUNBROOK DR.
SAN BERNARDINO, CA 92407
Phone number: 310-766-1838
Mailing Address
Miss PORTIA MONIQUE JACKSON LVN
177 E. LYNWOOD DR. F206
SAN BERNARDINO, CA 92404
Phone number:
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