PHILLIP JACKSON

SAN FRANCISCO, CA
NPI1770933855
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
(Licence: CA  172V00000x)
Enumeration Date2016-06-20
Last Update Date2016-06-20
Business Address
-- PHILLIP JACKSON
1801 VICENTE ST
SAN FRANCISCO, CA 94116-2923
Phone number: 415-681-3211
Mailing Address
-- PHILLIP JACKSON
1801 VICENTE ST
SAN FRANCISCO, CA 94116-2923
Phone number:
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