LA PORSCHE MICHELLE JACKSON

SANTA ANA, CA
NPI1760274831
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2025-05-22
Last Update Date2025-05-22
Business Address
LA PORSCHE MICHELLE JACKSON M.ED/CI
2201 E 4TH ST
SANTA ANA, CA 92705-3804
Phone number: 800-883-8441
Mailing Address
LA PORSCHE MICHELLE JACKSON M.ED/CI
22890 PAHUTE DR
MORENO VALLEY, CA 92553-6427
Phone number: 310-912-5168