KENYON JACKSON

OXNARD, CA
NPI1700571056
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225400000X Rehabilitation Practitioner
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2023-04-11
Last Update Date2025-04-29
Business Address
KENYON JACKSON
1911 WILLIAMS DR
OXNARD, CA 93036-2612
Phone number: 972-415-5651
Mailing Address
KENYON JACKSON
1911 WILLIAMS DR
OXNARD, CA 93036-2612
Phone number: 972-415-5651
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