JESSICA ANNETTE JACKSON

SAN RAFAEL, CA
NPI1639534993
Former NameJESSICA ANNETTE RODRIGUEZ
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2015-12-30
Last Update Date2020-02-20
Business Address
JESSICA ANNETTE JACKSON
4020 CIVIC CENTER DR
SAN RAFAEL, CA 94903-4173
Phone number: 415-491-2548
Mailing Address
JESSICA ANNETTE JACKSON
601 RUSSELL ST
VALLEJO, CA 94591-6543
Phone number: 415-573-6902