SHAMICKA JACKSON

SAN BERNARDINO, CA
NPI1750764783
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  37979)
Enumeration Date2015-07-08
Last Update Date2015-07-22
Business Address
-- SHAMICKA JACKSON
2080 S E ST
SAN BERNARDINO, CA 92408-2773
Phone number: 909-388-9191
Mailing Address
-- SHAMICKA JACKSON
2080 S E ST
SAN BERNARDINO, CA 92408-2773
Phone number: 909-388-9191
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