IVY PATRICE JACKSON

GARDENA, CA
NPI1679401921
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2026-05-08
Last Update Date2026-05-08
Business Address
IVY PATRICE JACKSON
879 W 190TH ST STE 1000
GARDENA, CA 90248-4255
Phone number: 310-329-9115
Mailing Address
IVY PATRICE JACKSON
14822 CHADRON AVE APT 14
GARDENA, CA 90249-3519
Phone number: 424-356-6038