LISA ANN JACKSON

FAIRFIELD, CA
NPI1659980738
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
Enumeration Date2020-07-24
Last Update Date2023-11-27
Business Address
LISA ANN JACKSON
956 E TABOR AVE
FAIRFIELD, CA 94533-4104
Phone number: 707-555-1212
Mailing Address
LISA ANN JACKSON
956 E TABOR AVE
FAIRFIELD, CA 94533-4104
Phone number: 707-555-1212