FATEEN LATEEF JACKSON

FAIRFIELD, CA
NPI1730901836
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2024-10-29
Last Update Date2024-10-29
Business Address
FATEEN LATEEF JACKSON
2101 COURAGE DR
FAIRFIELD, CA 94533-6717
Phone number: 707-646-4600
Mailing Address
FATEEN LATEEF JACKSON
2101 COURAGE DR
FAIRFIELD, CA 94533-6717
Phone number: 707-646-4600
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